Individual
JENNIFER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
607 NORTH AVE STE 14-4, WAKEFIELD, MA 01880-1306
(781) 245-4446
Mailing address
15 ROCK ST, WHITMAN, MA 02382-1218
(508) 740-1052
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12982
MA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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