Provider Demographics
NPI:1275661761
Name:ROZIER, MARY CLARE (OTR-L)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:CLARE
Last Name:ROZIER
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 1:8429 BOVERIE DR
Mailing Address - Street 2:
Mailing Address - City:STE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670-8024
Mailing Address - Country:US
Mailing Address - Phone:573-883-4500
Mailing Address - Fax:573-883-5957
Practice Address - Street 1:375 N 5TH ST
Practice Address - Street 2:
Practice Address - City:STE GENEVIEVE
Practice Address - State:MO
Practice Address - Zip Code:63670-1205
Practice Address - Country:US
Practice Address - Phone:573-883-4500
Practice Address - Fax:573-883-5957
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO#000529225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist