Healthcare Provider Details

I. General information

NPI: 1013838507
Provider Name (Legal Business Name): MARIA DEL CARMEN ROSAS OJEDA OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 S LONGMORE CT
CHANDLER AZ
85286-6816
US

IV. Provider business mailing address

1550 S LONGMORE CT
CHANDLER AZ
85286-6816
US

V. Phone/Fax

Practice location:
  • Phone: 775-455-5279
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOTH-009002
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: