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NPI Code Detail

MEDICARE: MS. ROCHELLE ANNA PERSSON P.T.

MEDICARE:  MS. ROCHELLE ANNA PERSSON  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 Therapist6376CO

General Provider Information

NPI Number : 1952521338
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROCHELLE ANNA PERSSON P.T.
Provider Business Mailing Address
First Line : 214 PINE AVE
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-3251
Country : US
Telephone Number : 719-635-0326
Fax Number :
Provider Business Practice Location Address
First Line : 104 LOIS LN
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1320
Country : US
Telephone Number : 719-635-2569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2007
Last Update Date : 04/16/2013

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Directions to “ MS. ROCHELLE ANNA PERSSON P.T.” Practice Location

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