Individual
GARY ROSSBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2200 IRONWOOD PL, COEUR D ALENE, ID 83814-2610
(208) 667-6486
Mailing address
2685 W ASHLAND LN, HAYDEN, ID 83835-8041
(208) 762-4761
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-146
ID
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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