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NPI Code Detail

MEDICARE: LINDSEY BROOKE ROSE OT

MEDICARE: LINDSEY BROOKE ROSE OT
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 TherapistOT18731FL

General Provider Information

NPI Number : 1649783747
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY BROOKE ROSE OT
Provider Business Mailing Address
First Line : 709 S HARBOR CITY BLVD STE 100
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1936
Country : US
Telephone Number : 321-802-5810
Fax Number : 321-802-5811
Provider Business Practice Location Address
First Line : 709 S HARBOR CITY BLVD STE 100
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-1936
Country : US
Telephone Number : 321-802-5810
Fax Number : 321-802-5811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2017
Last Update Date : 03/17/2018

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Directions to “ LINDSEY BROOKE ROSE OT” Practice Location

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