Individual
HEATHER ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 HOSIER ST, SELBYVILLE, DE 19975-9300
(302) 436-1000
Mailing address
31 HOSIER ST, SELBYVILLE, DE 19975-9300
(302) 436-1000
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2-0001795
DE
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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