Provider Demographics
NPI:1134464589
Name:ALIGADA, ROSALYN MARIE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:MARIE
Last Name:ALIGADA
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 1:28 ASHLAND ST APT 1
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-1958
Mailing Address - Country:US
Mailing Address - Phone:978-255-1321
Mailing Address - Fax:
Practice Address - Street 1:134 NORTH ST
Practice Address - Street 2:
Practice Address - City:NORTH READING
Practice Address - State:MA
Practice Address - Zip Code:01864-1315
Practice Address - Country:US
Practice Address - Phone:978-276-2040
Practice Address - Fax:978-276-1279
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist