Doctor Name: | ROBERT ROSENBERRY |
NPI Number: | 1124150784 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 11864 |
Business Practice Address: | 320 Alisal Rd Suite # 406 Solvang, CA - 934633735 |
Business Phone Number: | 8056885000 |
Business Fax Number: | |
Mailing Address: | 320 Alisal Rd, Suite # 406 SOLVANG |
State: | CA |
Postal Code: | 934633735 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 04/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 11864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |