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NPI Code Detail

MEDICARE: LAURA MARIE ROSA

MEDICARE:   LAURA MARIE ROSA
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 TherapistOT3257OH

General Provider Information

NPI Number : 1598411365
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA MARIE ROSA
Provider Business Mailing Address
First Line : 12675 BROCKWAY DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-5563
Country : US
Telephone Number : 216-394-1214
Fax Number :
Provider Business Practice Location Address
First Line : 12675 BROCKWAY DR
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-5563
Country : US
Telephone Number : 216-394-1214
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2022
Last Update Date : 03/01/2022

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Directions to “ LAURA MARIE ROSA ” Practice Location

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