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NPI Code Detail

MEDICARE: MONICA I ROSA P.T.

MEDICARE: MONICA I ROSA 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
1225100000XPhysical Therapist008540KY

General Provider Information

NPI Number : 1518009174
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA I ROSA P.T.
Provider Business Mailing Address
First Line : 3615 NEWBURG RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3368
Country : US
Telephone Number : 786-863-2324
Fax Number : 855-859-0123
Provider Business Practice Location Address
First Line : 3615 NEWBURG RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40218-3368
Country : US
Telephone Number : 502-909-0772
Fax Number : 855-859-0123
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 05/10/2023

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