Individual
JOHN PATRICK ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
34800 BOB WILSON DR, BLDG 31, SAN DIEGO, CA 92134-1098
(619) 532-5032
Mailing address
34800 BOB WILSON DR, BLDG 31, SAN DIEGO, CA 92134-1098
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.009874
IL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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