Provider Demographics
NPI:1609299783
Name:ROZUMALSKI, AMY RENEE
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:RENEE
Last Name:ROZUMALSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:RENEE
Other - Last Name:ZINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA
Mailing Address - Street 1:10120 W COLDSPRING RD
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-2602
Mailing Address - Country:US
Mailing Address - Phone:414-708-8667
Mailing Address - Fax:
Practice Address - Street 1:10150 W. NATIONAL AVE, SUITE 150
Practice Address - Street 2:PREMIERE MEDICAL STAFFING SERVICES, LLC
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53227
Practice Address - Country:US
Practice Address - Phone:800-439-7012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant