Individual
MICHELLE ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
925 BEAR CORBITT RD, BEAR, DE 19701-1323
(302) 454-2400
(302) 454-5442
Mailing address
807 BELLAMY RD, NORTH MYRTLE BEACH, SC 29582-2827
(302) 540-7679
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
UC-0001493
DE
Other
Enumeration date
09/22/2014
Last updated
09/10/2024
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