Doctor Name: | LUIS ROSERO |
NPI Number: | 1063846202 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 40QA01510700 |
Business Practice Address: | 769 Northfield Ave Suite 132 West Orange, NJ - 070521198 |
Business Phone Number: | 9736693500 |
Business Fax Number: | 9736693444 |
Mailing Address: | 11 Eagle Rock Ave, EAST HANOVER |
State: | NJ |
Postal Code: | 079363167 |
Phone Number: | 9738879000 |
Fax Number: | 9738879118 |
NPI Enumeration Date: | 08/23/2013 |
NPI Last Update Date: | 08/23/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01510700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |