Provider Demographics
NPI:1033482849
Name:BALCER, ROSE MARIE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ROSE
Middle Name:MARIE
Last Name:BALCER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5205 VILLAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-7907
Mailing Address - Country:US
Mailing Address - Phone:954-532-0337
Mailing Address - Fax:954-208-0680
Practice Address - Street 1:5205 VILLAGE BLVD
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-7907
Practice Address - Country:US
Practice Address - Phone:954-532-0337
Practice Address - Fax:954-208-0680
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-10
Last Update Date:2023-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT15025225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist