Individual
MICHELLE RANAE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1020 RUBY VISTA DR UNIT 102, ELKO, NV 89801-2876
(775) 753-1214
Mailing address
1020 RUBY VISTA DR UNIT 102, ELKO, NV 89801-2876
(775) 753-1214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-0875
NV
Other
Enumeration date
11/16/2016
Last updated
01/30/2018
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