MEDICARE: ROSALIE TORRES

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	225200000X	Physical Therapy Assistant	2145634	TX

General Provider Information

NPI Number	:	1689235483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSALIE TORRES

Provider Business Mailing Address
First Line	:	2490 BLACKLAND RD
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-4706
Country	:	US
Telephone Number	:	972-877-9170
Fax Number	:

Provider Business Practice Location Address
First Line	:	901 E INTERSTATE HIGHWAY 30
Second Line	:
City	:	ROYSE CITY
State	:	TX
Zip	:	75189-7518
Country	:	US
Telephone Number	:	972-636-9100
Fax Number	:

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

Provider Enumeration Date	:	06/24/2019
Last Update Date	:	06/24/2019

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Directions to “ ROSALIE TORRES ” Practice Location

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