Healthcare Provider Details

I. General information

NPI: 1356985295
Provider Name (Legal Business Name): ROSE PHYSICAL THERAPY GROUP 2
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2019
Last Update Date: 11/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1705 DESALES ST NW STE 600
WASHINGTON DC
20036-4419
US

IV. Provider business mailing address

1705 DESALES ST NW STE 600
WASHINGTON DC
20036-4419
US

V. Phone/Fax

Practice location:
  • Phone: 202-630-0378
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CLAIRE BOWE
Title or Position: OWNER/CEO
Credential: PT
Phone: 202-630-0378