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NPI Code Detail

MEDICARE: ANNEMARIE ELIZABETH ROSCOE

MEDICARE: ANNEMARIE ELIZABETH ROSCOE
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 Therapist

General Provider Information

NPI Number : 1659206506
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNEMARIE ELIZABETH ROSCOE
Provider Business Mailing Address
First Line : 2609 HAYES DR
Second Line :
City : BURNSVILLE
State : MN
Zip : 55337-1059
Country : US
Telephone Number : 612-965-1885
Fax Number :
Provider Business Practice Location Address
First Line : 1575 BEAM AVE
Second Line :
City : MAPLEWOOD
State : MN
Zip : 55109-1126
Country : US
Telephone Number : 651-232-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2026
Last Update Date : 06/15/2026

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Directions to “ ANNEMARIE ELIZABETH ROSCOE ” Practice Location

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