Provider Demographics
NPI:1144016106
Name:ROSELL, MARY PAULEEN MAE SENO (MAOT, OTRP, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARY PAULEEN MAE
Middle Name:SENO
Last Name:ROSELL
Suffix:
Gender:F
Credentials:MAOT, OTRP, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16710 ORANGE AVE UNIT G37
Mailing Address - Street 2:
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-6857
Mailing Address - Country:US
Mailing Address - Phone:951-933-4274
Mailing Address - Fax:
Practice Address - Street 1:3777 LONG BEACH BLVD STE 400&480
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-3325
Practice Address - Country:US
Practice Address - Phone:562-317-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27635225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist