Provider Demographics
NPI:1740317569
Name:ROSANIA, VALERIE (OTR)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:ROSANIA
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 1:103 MOUND ST
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32750-7107
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:705 W STATE ROAD 434
Practice Address - Street 2:SUITE F
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32750-4907
Practice Address - Country:US
Practice Address - Phone:407-831-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT2456225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand