Individual
ROSEANN HALBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 7TH AVE S, ST PETERSBURG, FL 33701-4820
(727) 767-3843
Mailing address
12000 4TH ST N, APT. 177, ST PETERSBURG, FL 33716-1708
(352) 318-1379
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT 12633
FL
Other
Enumeration date
02/19/2007
Last updated
02/24/2008
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