Provider Demographics
NPI:1437529476
Name:LION, ROSEMARIE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:LION
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 1:2669 SCENIC DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-8734
Mailing Address - Country:US
Mailing Address - Phone:575-446-5513
Mailing Address - Fax:575-446-5529
Practice Address - Street 1:41 MYRTLE CT
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94952-3236
Practice Address - Country:US
Practice Address - Phone:415-215-2579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-02
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM4038225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist