Individual
JANESSA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
44350 FAIRGROUND RD, CALDWELL, OH 43724-9677
(740) 732-4614
Mailing address
62222 FRANKFORT RD, SALESVILLE, OH 43778-9638
(740) 679-2111
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OTA005508
OH
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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