Provider Demographics
NPI:1871732487
Name:BURAGA, ROSALIE CASCABEL (RPT)
Entity type:Individual
Prefix:MISS
First Name:ROSALIE
Middle Name:CASCABEL
Last Name:BURAGA
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Gender:F
Credentials:RPT
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Mailing Address - Street 1:1920 OLD SPRINGVILLE ROAD
Mailing Address - Street 2:SUITE 104 ATLAS REHABILITATION
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35215
Mailing Address - Country:US
Mailing Address - Phone:337-424-0582
Mailing Address - Fax:205-520-0455
Practice Address - Street 1:915 1ST STREET
Practice Address - Street 2:THERAPY DEPT. WINNFIELD NURSING AND REHAB. CENTER
Practice Address - City:WINNFIELD
Practice Address - State:LA
Practice Address - Zip Code:71483
Practice Address - Country:US
Practice Address - Phone:318-628-3533
Practice Address - Fax:318-628-7600
Is Sole Proprietor?:No
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
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Provider Licenses
StateLicense IDTaxonomies
LATEMPORARY PERMIT225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist