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NPI Code Detail

MEDICARE: MR. VICTOR ROSITAS OTR/L

MEDICARE: MR. VICTOR ROSITAS OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist3242AZ

General Provider Information

NPI Number : 1295926897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VICTOR ROSITAS OTR/L
Provider Business Mailing Address
First Line : 340 W 32ND ST
Second Line : #522
City : YUMA
State : AZ
Zip : 85364-8128
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3700 N WINDSONG DR
Second Line :
City : PRESCOTT VALLEY
State : AZ
Zip : 86314-1253
Country : US
Telephone Number : 928-759-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2007
Last Update Date : 06/23/2008

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