Provider Demographics
NPI:1255830154
Name:DELAROSA, ANAROSA (MT-BC)
Entity Type:Individual
Prefix:
First Name:ANAROSA
Middle Name:
Last Name:DELAROSA
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4653 QUARRY ST
Mailing Address - Street 2:
Mailing Address - City:WYANDOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48192-6915
Mailing Address - Country:US
Mailing Address - Phone:313-231-2919
Mailing Address - Fax:
Practice Address - Street 1:3408 WOODWARD AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2726
Practice Address - Country:US
Practice Address - Phone:313-578-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-06
Last Update Date:2018-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist