Most Relevant Information
Provider Data
| NPI Number: | 1003180241 |
| Provider Name: | JOHN CHARLES DELAROSA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 61396 |
Most Important Dates
| Enumeration Date: | 03/06/2012 |
| Last Updated: | 06/04/2018 |
Provider Practice Location
2645 N 17TH ST
COOS BAY
OR
97420
Practice Location Phone/Fax
| Phone: | 5412663658 |
| Fax: |
Provider Mailing Location
2645 N 17TH ST
COOS BAY
OR
974202134
Provider Mailing Phone/Fax
| Phone: | 5412663658 |
| Fax: |