MEDICARE: LEAH KROLL-ROSEN PT, DPT, NCS

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	2251N0400X	Neurology Physical Therapist
2	2251N0400X	Neurology Physical Therapist	14630	CO

General Provider Information

NPI Number	:	1194220871
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH KROLL-ROSEN PT, DPT, NCS

Provider Business Mailing Address
First Line	:	12500 E ILIFF AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1268
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12500 E ILIFF AVE STE 300
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1268
Country	:	US
Telephone Number	:	303-731-4620
Fax Number	:

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

Provider Enumeration Date	:	03/26/2018
Last Update Date	:	02/14/2024

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