Provider Demographics
NPI:1184993354
Name:ROZEN, NANCY H (OTR)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:H
Last Name:ROZEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 WASHINGTON ST
Mailing Address - Street 2:APT. # 324
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118-2152
Mailing Address - Country:US
Mailing Address - Phone:857-233-4398
Mailing Address - Fax:
Practice Address - Street 1:1313 WASHINGTON ST
Practice Address - Street 2:APT. # 324
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2152
Practice Address - Country:US
Practice Address - Phone:857-233-4398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-18
Last Update Date:2011-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA353225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist