MR. Christopher Derek Rose, PTA

NPI #1417448911 in Madisonville, Tennessee

Provider Information

NPI Number: 1417448911
Entity Type: Individual
Name: MR. Christopher Derek Rose, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 21, 2018
Last Updated: May 21, 2018

Practice Location

Address: 520 COOK ST STE D
City: Madisonville
State: Tennessee
ZIP Code: 37354-1533
Phone: (423) 442-1440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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