Individual
KIMBERLY DIANA ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10508 JAMAICA AVE, RICHMOND HILL, NY 11418-2013
(347) 828-4679
Mailing address
9424 97TH ST, OZONE PARK, NY 11416-1615
(347) 828-4679
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
023620-1
NY
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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