Individual
ROSE MEESKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1321 OSPREY NEST LN, PORT ORANGE, FL 32128-7161
(386) 527-2103
Mailing address
1321 OSPREY NEST LN, PORT ORANGE, FL 32128-7161
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9296
FL
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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