Individual
JANELLE ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 S 5TH ST, ODESSA, DE 19730-2078
(302) 376-4128
Mailing address
1106 LINWOOD AVE, HADDON TOWNSHIP, NJ 08108-3306
(856) 278-3907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00873000
NJ
225XP0200X
Pediatric Occupational Therapist
Primary
U1-0012522
DE
225XP0200X
Pediatric Occupational Therapist
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Other
Enumeration date
08/29/2019
Last updated
09/07/2023
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