Individual
GERARDO ROSAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3419 HOLDING ST, RIVERSIDE, CA 92501-2233
(951) 840-1618
Mailing address
3419 HOLDING ST, RIVERSIDE, CA 92501-2233
(951) 840-1618
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1433
CA
Other
Enumeration date
08/10/2014
Last updated
08/10/2014
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