Individual
ASHLEY MARIE BAGWELL ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
28991 OLD TOWN FRONT ST STE 101, TEMECULA, CA 92590-2858
(760) 207-7934
Mailing address
1629 MISSION MEADOWS DR, OCEANSIDE, CA 92057-5716
(760) 994-7862
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
19589
CA
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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