Audra Rose is a Occupational Therapist in Newark, New Jersey. Audra Rose practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Audra Rose is 1861619991. The last update date is 2007-07-08.
Audra Rose's current location address is 65 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739720186 and fax number 9739722645. The mailing address for Audra Rose is 65 Bergen St, Newark, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Audra Rose |
|---|---|
| Address | 65 Bergen St, Newark, New Jersey |
| Phone Number | 9739720186 |
| Fax Number | 9739722645 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1861619991 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 65 Bergen St |
|---|---|
| City | Newark |
| State | New Jersey (NJ) |
| Post Code | 71073001 |
| Phone Number | 9739720186 |
| Fax Number | 9739722645 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 46TR00064000 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Audra Rose by the Centers for Medicare & Medicaid Services?
The Audra Rose has been issued the NPI (National Provider Identifier) 1861619991 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Audra Rose is located?
The Audra Rose is situated at the following address: 65 Bergen St, Newark, NJ, 71073001.
What is Audra Rose's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Audra Rose's specialized field of practice is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1861619991 to Audra Rose?
The Centers for Medicare & Medicaid Services originally issued the 1861619991 to Audra Rose on 2007-04-19.
When was the information pertaining to Audra Rose most recently updated or revised?
The details related to Audra Rose, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1215930573
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