Crista Marina Ana Lucia Rosborough, ATC, LAT

NPI #1073968715 in Hawthorne, Florida

Provider Information

NPI Number: 1073968715
Entity Type: Individual
Name: Crista Marina Ana Lucia Rosborough, ATC, LAT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: ATC, LAT
Enumeration Date: May 2, 2016
Last Updated: May 2, 2016

Practice Location

Address: 21403 SE 70TH AVE
City: Hawthorne
State: Florida
ZIP Code: 32640
Phone: (412) 477-9382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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