Provider Demographics
NPI:1063116895
Name:ROSSI, MICHELLE (MT-BC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ROSSI
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STONE MILL CT
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-7045
Mailing Address - Country:US
Mailing Address - Phone:609-742-9741
Mailing Address - Fax:
Practice Address - Street 1:15 STONE MILL CT
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-7045
Practice Address - Country:US
Practice Address - Phone:609-742-9741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist