Individual
SHANNON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
512 SCHOOLHOUSE RD, HARLEYSVILLE, PA 19438-1019
(267) 328-7532
Mailing address
512 SCHOOLHOUSE RD, HARLEYSVILLE, PA 19438-1019
(267) 328-7532
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007163
PA
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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