Provider Demographics
NPI:1255045969
Name:ASARO, ROSEMARY LIANA (LMT)
Entity type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:LIANA
Last Name:ASARO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4802 NESHAMINY BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1041
Mailing Address - Country:US
Mailing Address - Phone:267-332-6605
Mailing Address - Fax:
Practice Address - Street 1:4802 NESHAMINY BLVD STE 4
Practice Address - Street 2:
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-1041
Practice Address - Country:US
Practice Address - Phone:267-332-6605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG014163225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist