Provider Demographics
NPI:1922207232
Name:PFEIFER, ROSELIN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:ROSELIN
Middle Name:
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 W 32ND ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1678
Mailing Address - Country:US
Mailing Address - Phone:785-625-7629
Mailing Address - Fax:
Practice Address - Street 1:701 7TH ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:KS
Practice Address - Zip Code:67671-9527
Practice Address - Country:US
Practice Address - Phone:785-735-2208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS18-00493224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant