Individual
LAURA ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 ACADEMY ST S # G, AHOSKIE, NC 27910-3200
(252) 578-9078
Mailing address
424 CORAL LN, EDENTON, NC 27932-9272
(410) 812-6653
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
A02374
MD
225X00000X
Occupational Therapist
Primary
13588
NC
Other
Enumeration date
08/22/2016
Last updated
05/14/2021
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