Provider Demographics
NPI:1699049452
Name:BUSCARIOLLO, ROSANA LEMOS (OTR)
Entity type:Individual
Prefix:MRS
First Name:ROSANA
Middle Name:LEMOS
Last Name:BUSCARIOLLO
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 1:7740 SW 180TH ST
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33157-6215
Mailing Address - Country:US
Mailing Address - Phone:305-235-3226
Mailing Address - Fax:
Practice Address - Street 1:7740 SW 180TH ST
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33157-6215
Practice Address - Country:US
Practice Address - Phone:305-235-3226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-25
Last Update Date:2012-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT13747225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist