Provider Demographics
NPI:1043714082
Name:GRIBBIN, ROSEMARY
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:GRIBBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 10523
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00850
Mailing Address - Country:US
Mailing Address - Phone:340-626-7185
Mailing Address - Fax:
Practice Address - Street 1:GULF CENTRAL EARLY STEPS
Practice Address - Street 2:4630 17TH STREET
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34235
Practice Address - Country:US
Practice Address - Phone:340-626-7185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-23
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist