Edward Rosen, PT

NPI #1689080194 in Penngrove, California

Provider Information

NPI Number: 1689080194
Entity Type: Individual
Name: Edward Rosen, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jul 3, 2014
Last Updated: Jul 3, 2014

Practice Location

Address: 6575 EAGLE RIDGE RD
City: Penngrove
State: California
ZIP Code: 94951-9575
Phone: (707) 795-0210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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