Doctor Name: | LAURA MICHELLE ROSS |
NPI Number: | 1063741684 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT020323 |
Business Practice Address: | 840 Roscommon Rd Bryn Mawr, PA - 190101845 |
Business Phone Number: | 6105277714 |
Business Fax Number: | 6105277716 |
Mailing Address: | Po Box 139, GLADWYNE |
State: | PA |
Postal Code: | 190350139 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/10/2009 |
NPI Last Update Date: | 12/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT020323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |