Doctor Name: | KRISTI M ROSA |
NPI Number: | 1013008564 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT21002 |
Business Practice Address: | 638 Brandywine Pkwy West Chester, PA - 193804278 |
Business Phone Number: | 6104363600 |
Business Fax Number: | 6104363604 |
Mailing Address: | 638 Brandywine Pkwy, WEST CHESTER |
State: | PA |
Postal Code: | 193804278 |
Phone Number: | 6104363600 |
Fax Number: | 6104363604 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 03/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT21002 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |