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NPI Code Detail

MEDICARE: PAUL D ROSENBAUM DPT

MEDICARE: PAUL D ROSENBAUM DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00009088WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023187168
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL D ROSENBAUM DPT
Provider Business Mailing Address
First Line : 12410 E SINTO AVE STE 101
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-2258
Country : US
Telephone Number : 509-789-2956
Fax Number : 509-789-2976
Provider Business Practice Location Address
First Line : 12410 E SINTO AVE STE 101
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99216-2258
Country : US
Telephone Number : 509-789-2956
Fax Number : 509-789-2976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 05/12/2025

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Directions to “ PAUL D ROSENBAUM DPT” Practice Location

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