Provider Demographics
NPI:1659525418
Name:COLKIN, ROSE-ANN (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ROSE-ANN
Middle Name:
Last Name:COLKIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STORER AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1717
Mailing Address - Country:US
Mailing Address - Phone:914-813-2190
Mailing Address - Fax:
Practice Address - Street 1:15 STORER AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1717
Practice Address - Country:US
Practice Address - Phone:914-813-2190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010988225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist