Provider Demographics
NPI:1568851616
Name:ROSARIO, LAUREN VERONICA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:VERONICA
Last Name:ROSARIO
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 1:11 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-1312
Mailing Address - Country:US
Mailing Address - Phone:973-615-6608
Mailing Address - Fax:
Practice Address - Street 1:11 GARDEN ST
Practice Address - Street 2:
Practice Address - City:LINCOLN PARK
Practice Address - State:NJ
Practice Address - Zip Code:07035-1312
Practice Address - Country:US
Practice Address - Phone:973-615-6608
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-13
Last Update Date:2023-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00681200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist