Individual
COLLEEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
219 RACINE DR, SUITE 1-A, WILMINGTON, NC 28403-8827
(910) 792-6706
(910) 792-6706
Mailing address
541 SANDRIDGE RD, HUBERT, NC 28539-4362
(732) 599-4813
(910) 792-6706
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8556
NC
Other
Enumeration date
10/18/2011
Last updated
04/16/2013
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