Individual
MS. LETICIA DELON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
5301 CREEDMOOR RD, RALEIGH, NC 27612-3822
(919) 651-3803
Mailing address
4004 CASHEW DR, RALEIGH, NC 27616-9540
(919) 455-8692
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7531
NC
Other
Enumeration date
11/09/2013
Last updated
03/22/2018
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