Individual
MARC ALEXANDER ROSELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS OT
Contact information
Practice address
1138 WILMINGTON AVE, SALT LAKE CITY, UT 84106-2819
(801) 581-2221
(801) 581-2043
Mailing address
1717 WILSON AVE, SALT LAKE CITY, UT 84108-2916
(801) 467-6280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
341321-4201
UT
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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