Provider Demographics
NPI:1073877288
Name:ROSENBAUM, EMILY RACHEL (OTR)
Entity Type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:RACHEL
Last Name:ROSENBAUM
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 ASCOT LN
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-3255
Mailing Address - Country:US
Mailing Address - Phone:201-400-8846
Mailing Address - Fax:
Practice Address - Street 1:251 E 77TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-2045
Practice Address - Country:US
Practice Address - Phone:212-288-1540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7825438225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist