Provider Demographics
NPI:1811230246
Name:ROSNER, SHARI B (MOT, OT/L)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:B
Last Name:ROSNER
Suffix:
Gender:F
Credentials:MOT, OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20303 22ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-1319
Mailing Address - Country:US
Mailing Address - Phone:206-335-1124
Mailing Address - Fax:
Practice Address - Street 1:2235 LAKE HEIGHTS DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6030
Practice Address - Country:US
Practice Address - Phone:425-338-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT 00003005225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist