Provider Demographics
NPI:1134591183
Name:ROSENBLUM, JAMIE ROME (OTR/L, CHT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:ROME
Last Name:ROSENBLUM
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4387 MOTOR AVE
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-3448
Mailing Address - Country:US
Mailing Address - Phone:310-948-1095
Mailing Address - Fax:
Practice Address - Street 1:137 BAY ST UNIT 1
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90405-1026
Practice Address - Country:US
Practice Address - Phone:310-396-8564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-28
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019823-1225XH1200X
CA16340225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand