Individual
AUDRA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, #601, NEWARK, NJ 07107-3001
(973) 972-0186
(973) 972-2645
Mailing address
231 PARK AVE, #1, HOBOKEN, NJ 07030-3707
(201) 386-1809
(201) 386-1809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00064000
NJ
225XP0200X
Pediatric Occupational Therapist
46TR00064000
NJ
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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