Provider Demographics
NPI:1053324939
Name:ROSALES, JOSEPHINE CALINA (OTR/L, SWC)
Entity Type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:CALINA
Last Name:ROSALES
Suffix:
Gender:F
Credentials:OTR/L, SWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3711 W 230TH ST APT 135
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3823
Mailing Address - Country:US
Mailing Address - Phone:630-890-9873
Mailing Address - Fax:
Practice Address - Street 1:3711 W 230TH ST APT 135
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3823
Practice Address - Country:US
Practice Address - Phone:630-890-9873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2020-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-004067225XP0200X
225XF0002X
CA11262225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing