Individual provider · Type 1 NPI

Jack William Rose, OTR/L

Occupational Therapist · Catonsville, MD

NPI number 1730005133 Active

Practice location

55 Wade Ave
Catonsville, MD 21228-4663

Call (410) 402-7166 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X07662 (MD)

Occupational Therapist: 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 Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1730005133

Jack William Rose, OTR/L's National Provider Identifier is 1730005133, issued on Jun 29, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Catonsville, MD. The record was last updated on Jun 29, 2026.