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General NPI Number Information
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NPI Number | 1760919617
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Entity Type | Individual
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Provider Name | DMARIE CHRISTY ROSE PT
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Gender | Female
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 793 N CHERRY ST
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City | TULARE
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State | CA
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Zip | 93274-2205
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Country | US
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Telephone | 559-688-7531
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Fax | 559-688-3509
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Provider Business Mailing Address
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Address Line | PO BOX 688
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City | TULARE
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State | CA
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Zip | 93275-0688
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Country | US
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Telephone | 559-688-7531
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Fax | 599-688-3509
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 35009
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License Number State | CA
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