Individual
MRS. JENNIFER JEAN ROOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6361 S STADIUM LN, KATY, TX 77494-1057
(281) 237-6647
(281) 644-1846
Mailing address
6361 S STADIUM LN, KATY, TX 77494-1057
(281) 237-6647
(281) 644-1846
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005457
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747777
—
OH
Enumeration date
01/07/2009
Last updated
06/19/2024
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