Individual
ROSEMARY ADOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
MCK-3752- RAV 4, RAV 4--TRAVEL, MARSHALL, TX 75670
(903) 934-2593
Mailing address
609 BLACK ST, MARSHALL, TX 75670-5204
(903) 935-7330
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225X00000X
Occupational Therapist
107750
TX
225XH1300X
Human Factors Occupational Therapist
006279-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01982998
—
NY
Enumeration date
08/18/2006
Last updated
08/06/2019
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