Individual
DANIELE LOOMIS ROSTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OT
Contact information
Practice address
114 ASHLEY DR, ROCHESTER, NY 14620-3326
(585) 200-0007
Mailing address
114 ASHLEY DR, ROCHESTER, NY 14620-3326
(585) 200-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
63P97520
NY
Other
Enumeration date
07/06/2015
Last updated
09/14/2022
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