MEDICARE: SONDRA ROOS P.T.

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	225100000X	Physical Therapist	6062	AZ

General Provider Information

NPI Number	:	1144615451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SONDRA ROOS P.T.

Provider Business Mailing Address
First Line	:	3650 W SAINT ALBANS PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-5151
Country	:	US
Telephone Number	:	520-977-0909
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 W SAINT ALBANS PL
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85742-5151
Country	:	US
Telephone Number	:	520-977-0909
Fax Number	:

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

Provider Enumeration Date	:	04/02/2015
Last Update Date	:	04/02/2015

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Directions to “ SONDRA ROOS P.T.” Practice Location

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