Individual
EMMA ROOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 N MIDDAUGH ST, SOMERVILLE, NJ 08876-1404
(908) 566-7291
Mailing address
190 N MIDDAUGH ST, SOMERVILLE, NJ 08876-1404
(908) 566-7291
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10900329-4201
UT
225X00000X
Occupational Therapist
Primary
19200
CA
225X00000X
Occupational Therapist
379938
OR
225X00000X
Occupational Therapist
46TR00784500
NJ
225X00000X
Occupational Therapist
OT.0005550
CO
225X00000X
Occupational Therapist
OT3508
ME
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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