Individual
ROSE CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1616 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-4127
Mailing address
7326 GERMANTOWN AVE APT C4, PHILADELPHIA, PA 19119-1729
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007868
PA
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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