Provider Demographics
NPI:1427459056
Name:ROSEL, CAROLINE M (MS,OTR)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:ROSEL
Suffix:
Gender:F
Credentials:MS,OTR
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:M
Other - Last Name:ROSEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2740 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-6141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14721 CECIL DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72223-1913
Practice Address - Country:US
Practice Address - Phone:870-562-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist