Individual
KELLY NICOLE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MEDICAL CENTER PKWY STE 100, HUNTSVILLE, TX 77340-4959
(972) 422-1860
(936) 715-3721
Mailing address
18484 PRESTON RD STE 102, DALLAS, TX 75252-5474
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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