Individual
VICTORIA RITA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
101 FOUNTAIN POINTE LN UNIT 302, MYRTLE BEACH, SC 29579-7416
(845) 421-1803
Mailing address
101 FOUNTAIN POINTE LN UNIT 302, MYRTLE BEACH, SC 29579-7416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.6081
SC
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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