Provider Demographics
NPI:1194251652
Name:DULCIO, ROSEMENE
Entity type:Individual
Prefix:
First Name:ROSEMENE
Middle Name:
Last Name:DULCIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7175 IVY CROSSING LN
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-9415
Mailing Address - Country:US
Mailing Address - Phone:561-289-1751
Mailing Address - Fax:
Practice Address - Street 1:7175 IVY CROSSING LN
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-9415
Practice Address - Country:US
Practice Address - Phone:561-289-1751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist