Individual
MRS. WHITNEY RENEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3419 N PLAINVIEW AVE, FAYETTEVILLE, AR 72703-4065
(479) 521-4001
(479) 521-1621
Mailing address
1600 RIVERFRONT DR, LITTLE ROCK, AR 72202
(501) 663-6965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2160
AR
Other
Enumeration date
12/04/2007
Last updated
07/02/2010
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