Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeri Lynn Rose

Individual provider Occupational Therapy Assistant · NPI 1679039085

Jeri Lynn Rose is an Occupational Therapy Assistant in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

111 Tumbled Stone Way
Saint Augustine, FL 32086-0226
Phone: (217) 417-0088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 057003447 (IL)

Record details

NPI number1679039085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2019
Last updated in NPPESFebruary 11, 2019

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