Doctor Name: | REBECCA K TROSCH |
NPI Number: | 1154756682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PTT28619 |
Business Practice Address: | 60 2nd Street #401 Shalimar, FL - 325791764 |
Business Phone Number: | 8506136599 |
Business Fax Number: | 8506136515 |
Mailing Address: | 60 2nd Street, #401 SHALIMAR |
State: | FL |
Postal Code: | 325791764 |
Phone Number: | 8506136599 |
Fax Number: | 8506136515 |
NPI Enumeration Date: | 09/03/2013 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PTT28619 |
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: |