Provider Demographics
NPI:1376211276
Name:GUIO, ROSALBA (COTA)
Entity Type:Individual
Prefix:
First Name:ROSALBA
Middle Name:
Last Name:GUIO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9708 106TH ST FL 2
Mailing Address - Street 2:
Mailing Address - City:OZONE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11416-2715
Mailing Address - Country:US
Mailing Address - Phone:917-369-0794
Mailing Address - Fax:
Practice Address - Street 1:9708 106TH ST FL 2
Practice Address - Street 2:
Practice Address - City:OZONE PARK
Practice Address - State:NY
Practice Address - Zip Code:11416-2715
Practice Address - Country:US
Practice Address - Phone:917-369-0794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant