Doctor Name: | ROSANNE PETRICCA MEDLIN |
NPI Number: | 1407058720 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1146460 |
Business Practice Address: | 5310 Acton Hwy Ste. 106 Granbury, TX - 760493105 |
Business Phone Number: | 8173261375 |
Business Fax Number: | 8173262068 |
Mailing Address: | 2002 N Wood Duck Ct, GRANBURY |
State: | TX |
Postal Code: | 760495571 |
Phone Number: | 2145665121 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 05/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1146460 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |