Rosalie Cobb

Individual provider Active NPI Developmental Therapist · Ocklawaha, FL

NPI 1629524830 · NPPES record last updated Aug 28, 2016

Key facts

NPI
1629524830
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
12211 SE 128TH Court
Ocklawaha, FL 32179
Phone
(573) 528-3682
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

12211 SE 128TH Court
Ocklawaha, FL 32179

Mailing address

PO Box 1946
Ocklawaha, FL 32183-1946
Phone (573) 528-3682

Other providers in Ocklawaha, FL

All providers in Ocklawaha, FL · Developmental Therapist in Florida

Sources for this page

Verify at the official NPI Registry.