Provider Demographics
NPI:1477977353
Name:ROSA, SYLVIE E (OTR/L)
Entity Type:Individual
Prefix:
First Name:SYLVIE
Middle Name:E
Last Name:ROSA
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:AJ14 CALLE ROMA
Mailing Address - Street 2:URB CAGUAS NORTE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2256
Mailing Address - Country:US
Mailing Address - Phone:787-647-5036
Mailing Address - Fax:
Practice Address - Street 1:AJ14 CALLE ROMA
Practice Address - Street 2:URB CAGUAS NORTE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2256
Practice Address - Country:US
Practice Address - Phone:787-647-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-12
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR651225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics