Doctor Name: | WILLIAM ROSHELL |
NPI Number: | 1457460107 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS PT |
License Number: | 102416 |
Business Practice Address: | 552 Old Smizer Mill Rd Fenton, MO - 63026 |
Business Phone Number: | 6363498060 |
Business Fax Number: | 6363499171 |
Mailing Address: | 601 Vista Hills Ct, EUREKA |
State: | MO |
Postal Code: | 63007 |
Phone Number: | 6369384461 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 102416 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |