Wendi Rose, PT

NPI #1659967818 in Jerseyville, Illinois

Provider Information

NPI Number: 1659967818
Entity Type: Individual
Name: Wendi Rose, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 519 S STATE ST
City: Jerseyville
State: Illinois
ZIP Code: 62052-2241
Phone: (618) 639-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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