Provider Demographics
NPI:1437301504
Name:CARROLL, ROSAMARIA (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROSAMARIA
Middle Name:
Last Name:CARROLL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2320
Mailing Address - Country:US
Mailing Address - Phone:914-584-2326
Mailing Address - Fax:
Practice Address - Street 1:37 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2320
Practice Address - Country:US
Practice Address - Phone:914-584-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2010-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010347-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics