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NPI Code Detail

MEDICARE: ARIELE ROSENDAHL

MEDICARE:   ARIELE  ROSENDAHL
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
1225200000XPhysical Therapy Assistant10665CA

General Provider Information

NPI Number : 1295126712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIELE ROSENDAHL
Provider Business Mailing Address
First Line : 5006 PALMERA DR
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-2106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1201 34TH ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-2416
Country : US
Telephone Number : 619-232-2946
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2015
Last Update Date : 02/05/2015

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Directions to “ ARIELE ROSENDAHL ” Practice Location

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