Mrs. Lacrecia Rosser
Occupational Therapist - Gerontology
240 Hedgerow Trl
Fayetteville
, Georgia 30214-7270
Mrs. Lacrecia Rosser
Occupational Therapist - Gerontology
240 Hedgerow Trl
Fayetteville
, Georgia 30214-7270
(678) 485-9882
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Lacrecia Rosser
- 240 Hedgerow Trl
- Fayetteville, GA
- Zip : 30214-7270
- Phone : (678) 485-9882
Second Address
- Mrs. Lacrecia Rosser
- 240 Hedgerow Trl
- Fayetteville, GA
- Zip : 30214-7270
- Phone : (678) 485-9882
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Is Mrs. Lacrecia Rosser a sole practitioner?
Is Mrs. Lacrecia Rosser accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | OT003321 | GA |
National Provider Identifier
| NPI | 1235388596 |
|---|---|
| Provider Name | Mrs. Lacrecia Rosser |
| First Address | Fayetteville, GA 30214-7270 |
| Second Address | Fayetteville, GA 30214-7270 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/09/2008 |
| Last Update Date | 22/10/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 753263090A | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.