Provider Demographics
NPI:1780957316
Name:FISCHER, ROSEMARIA (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIA
Middle Name:
Last Name:FISCHER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ROSEMARIA
Other - Middle Name:
Other - Last Name:D'AVERSA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:224 VINE ST
Mailing Address - Street 2:
Mailing Address - City:NEW FLORENCE
Mailing Address - State:PA
Mailing Address - Zip Code:15944-1148
Mailing Address - Country:US
Mailing Address - Phone:724-235-2092
Mailing Address - Fax:
Practice Address - Street 1:224 VINE ST
Practice Address - Street 2:
Practice Address - City:NEW FLORENCE
Practice Address - State:PA
Practice Address - Zip Code:15944-1148
Practice Address - Country:US
Practice Address - Phone:724-235-2092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009376225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist