DR. Shivaz Rose, DPT

NPI #1861037269 in Ridgewood, New Jersey

Provider Information

NPI Number: 1861037269
Entity Type: Individual
Name: DR. Shivaz Rose, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Nov 10, 2019
Last Updated: Nov 10, 2019

Practice Location

Address: 153 PROSPECT ST
City: Ridgewood
State: New Jersey
ZIP Code: 07450-4405
Phone: (201) 819-4005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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