Provider Demographics
NPI:1568645596
Name:ROSNER, ELIZABETH J (BS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:ROSNER
Suffix:
Gender:F
Credentials:BS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 OLD HARVARD RD
Mailing Address - Street 2:
Mailing Address - City:BOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01719-1870
Mailing Address - Country:US
Mailing Address - Phone:978-635-1480
Mailing Address - Fax:
Practice Address - Street 1:645 OLD HARVARD RD
Practice Address - Street 2:
Practice Address - City:BOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01719-1870
Practice Address - Country:US
Practice Address - Phone:978-635-1480
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-13
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA353105225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics