Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 11262 | CA |
N | 225XF0002X | Feeding, Eating & Swallowing | ||
N | 225XP0200X | Occupational Therapist - Pediatrics | 056-004067 | IL |
NPI | 1053324939 |
---|---|
Provider Name | Josephine Calina Rosales |
First Address | Torrance, CA 90505-3823 |
Second Address | Torrance, CA 90505-3823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2006 |
Last Update Date | 07/03/2020 |