Individual
STACI ROSING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
2574 COVE CIR NE, ATLANTA, GA 30319-3706
(678) 362-6204
Mailing address
2574 COVE CIR NE, ATLANTA, GA 30319-3706
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
OT004857
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT004857
GA
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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