MEDICARE: MS. AURA ROSE CMT, CBT, CST, RM

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
1	174400000X	Specialist

General Provider Information

NPI Number	:	1033256680
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AURA ROSE CMT, CBT, CST, RM

Provider Business Mailing Address
First Line	:	713 SCHOOL LINE DR
Second Line	:
City	:	KING OF PRUSSIA
State	:	PA
Zip	:	19406-3510
Country	:	US
Telephone Number	:	610-265-0985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1049 W LANCASTER AVE FL 2
Second Line	:	BRYN MAWR ACUPUNCTURE
City	:	BRYN MAWR
State	:	PA
Zip	:	19010-3012
Country	:	US
Telephone Number	:	610-265-0985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	07/08/2007

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