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NPI Code Detail

MEDICARE: MS. ANGELA MICHELLE ROSE

MEDICARE: MS. ANGELA MICHELLE ROSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT007921GA

General Provider Information

NPI Number : 1336458801
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA MICHELLE ROSE
Provider Business Mailing Address
First Line : 1225 GLEN HAVEN LN
Second Line :
City : BATAVIA
State : OH
Zip : 45103-1134
Country : US
Telephone Number : 513-633-4517
Fax Number :
Provider Business Practice Location Address
First Line : 1230 JOHNSON FERRY PL STE G10
Second Line :
City : MARIETTA
State : GA
Zip : 30068-2045
Country : US
Telephone Number : 770-321-6705
Fax Number : 404-551-3891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2010
Last Update Date : 09/14/2021

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Directions to “ MS. ANGELA MICHELLE ROSE ” Practice Location

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