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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KRISTINA BEA ROSE

Active Sole Proprietor

MRS. KRISTINA BEA ROSE is a Pediatric Occupational Therapist healthcare provider located in ROCKFORD, Illinois. NPI 1295249522 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · ROCKFORD, IL

Registration Details

NPI Number
1295249522
Provider Type
Individual
Gender
Female
NPI Issued
Nov 22, 2017 (8.7596976612699 yrs)
Last Updated
Nov 22, 2017
License
056.002698 (IL)
Sole Proprietor
Yes

Practice Information

Address
2400 N ROCKTON AVE
ROCKFORD, IL, 611033655
Browse IL providers · Browse ZIP 61103
Phone
8159686861
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in ROCKFORD, IL

Name Credential NPI
MRS. BETSY OLSON JOHNSON OTR-L 1154456929
MR. WILLIAM ALAN KOPKE MED, OTR/L, CLT 1063538031
MRS. DEBRA B KLOWSKY OT 1649482076
MS. LYNN A SALLEY OT 1639381064
PAULA S LASH OTR/L 1497991244
WENDY S SAGONA OTR/L 1144550906
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.