Individual
GINNY ROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1408 LOMAS BLVD NW, ALBUQUERQUE, NM 87104-1236
(505) 264-6752
(949) 404-8551
Mailing address
6301 FOREST HILLS DR NE, ALBUQUERQUE, NM 87109-4137
(505) 823-8345
(505) 823-8355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2925
NM
225X00000X
Occupational Therapist
OT2925
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04728084
—
NM
Enumeration date
06/01/2012
Last updated
10/03/2019
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