Provider Demographics
NPI:1134515885
Name:ROBERSON, ROSALIND TUAZON-JARVINA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:TUAZON-JARVINA
Last Name:ROBERSON
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 1:11700 SOUTH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-6619
Mailing Address - Country:US
Mailing Address - Phone:310-613-3679
Mailing Address - Fax:
Practice Address - Street 1:11700 SOUTH ST
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-6611
Practice Address - Country:US
Practice Address - Phone:562-468-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9936225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist