Elizabeth J. Rosner, BS, OTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Boxborough, MA

NPI 1568645596 · NPPES record last updated Dec 13, 2007

Key facts

NPI
1568645596
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
353105 (MA)
Practice address
645 Old Harvard Rd
Boxborough, MA 01719-1870
Phone
(978) 635-1480
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
353105MAMDPediatric Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 353105 MA Yes

Addresses

Primary practice location

645 Old Harvard Rd
Boxborough, MA 01719-1870

Mailing address

645 Old Harvard Rd
Boxborough, MA 01719-1870
Phone (978) 635-1480

Other providers in Boxborough, MA

All providers in Boxborough, MA · Pediatric Occupational Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.