Individual
MICHELLE ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Mailing address
220 LIVINGSTON ST STE 112, NORTHVALE, NJ 07647-1739
(201) 564-7515
(201) 564-7514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00608100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396219044
—
NJ
Enumeration date
01/30/2023
Last updated
01/30/2023
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