Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224Z00000X | Occupational Therapy Assistant | 2853 | MA |
NPI | 1013319300 |
---|---|
Provider Name | Mrs. Barbara Rosyski |
First Address | Assonet, MA 02702-0897 |
Second Address | Fall River, MA 02721-5327 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2014 |
Last Update Date | 18/09/2014 |