Provider Demographics
NPI:1619166709
Name:JANAKI ROSE HEALING ARTS, INC.
Entity Type:Organization
Organization Name:JANAKI ROSE HEALING ARTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:206-528-5350
Mailing Address - Street 1:115 3/4 W MAIN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1809
Mailing Address - Country:US
Mailing Address - Phone:206-528-5350
Mailing Address - Fax:360-793-9999
Practice Address - Street 1:115 3/4 W MAIN ST STE 210
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1804
Practice Address - Country:US
Practice Address - Phone:206-528-5350
Practice Address - Fax:360-793-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-15
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00001632225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty