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

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
Mailing address111 Tumbled Stone Way, Saint Augustine, FL 32086-0226

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