Individual
INBAL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
636 NW 86TH ST, SEATTLE, WA 98117-3127
(206) 886-9883
Mailing address
636 NW 86TH ST, SEATTLE, WA 98117-3127
(206) 886-9883
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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