Provider Demographics
NPI:1205297132
Name:ROSENHANST, ROSALYN J (OT)
Entity type:Individual
Prefix:
First Name:ROSALYN
Middle Name:J
Last Name:ROSENHANST
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 42ND ST
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1253
Mailing Address - Country:US
Mailing Address - Phone:973-373-2154
Mailing Address - Fax:973-399-0323
Practice Address - Street 1:49 42ND ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1253
Practice Address - Country:US
Practice Address - Phone:973-373-2154
Practice Address - Fax:973-399-0323
Is Sole Proprietor?:No
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00190500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist