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NPI Code Detail

MEDICARE: BARBARA ROSSO

MEDICARE: BARBARA ROSSO
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
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A0397OTHERNVLICENSE #

General Provider Information

NPI Number : 1467562132
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ROSSO
Provider Business Mailing Address
First Line : 330 SIMON BOLIVAR DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-4515
Country : US
Telephone Number : 702-436-4288
Fax Number :
Provider Business Practice Location Address
First Line : 821 N NELLIS BLVD
Second Line : STE 130
City : LAS VEGAS
State : NV
Zip : 89110-5339
Country : US
Telephone Number : 702-452-4563
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 07/08/2007

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Directions to “ BARBARA ROSSO ” Practice Location

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