Provider Demographics
NPI:1164812590
Name:ROSAS, GABRIELA (OTD, IBCLC)
Entity type:Individual
Prefix:
First Name:GABRIELA
Middle Name:
Last Name:ROSAS
Suffix:
Gender:F
Credentials:OTD, IBCLC
Other - Prefix:
Other - First Name:GABRIELA
Other - Middle Name:
Other - Last Name:GALAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22098 PENSIVE CT
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8375
Mailing Address - Country:US
Mailing Address - Phone:310-951-8102
Mailing Address - Fax:
Practice Address - Street 1:22098 PENSIVE CT
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8375
Practice Address - Country:US
Practice Address - Phone:310-951-8102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-22
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL-311201174N00000X
COOT.0008205225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics