Provider Demographics
NPI:1033128129
Name:URBANOWICZ, ROSANNE MAY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ROSANNE
Middle Name:MAY
Last Name:URBANOWICZ
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 E SIERRA ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85028-1932
Mailing Address - Country:US
Mailing Address - Phone:602-625-3708
Mailing Address - Fax:602-953-0691
Practice Address - Street 1:3116 E SIERRA ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-1932
Practice Address - Country:US
Practice Address - Phone:602-625-3708
Practice Address - Fax:602-953-0691
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-06
Last Update Date:2018-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0407225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ0445960OtherBC/BS AZ