Individual
MALCOLM ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
331 RAINTREE DR, ALTOONA, FL 32702-9609
(800) 343-1588
Mailing address
26980 SE 166TH ST, UMATILLA, FL 32784-9150
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
19596
FL
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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