Provider Demographics
NPI:1730499450
Name:ROSSO, ISIS E (MS ED, ITDS)
Entity Type:Individual
Prefix:MRS
First Name:ISIS
Middle Name:E
Last Name:ROSSO
Suffix:
Gender:F
Credentials:MS ED, ITDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LAYNE BLVD APT 322
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-6594
Mailing Address - Country:US
Mailing Address - Phone:561-827-7336
Mailing Address - Fax:270-738-5243
Practice Address - Street 1:700 LAYNE BLVD APT 322
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-6594
Practice Address - Country:US
Practice Address - Phone:561-827-7336
Practice Address - Fax:270-738-5243
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist