(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003289620
Provider Name: BRIDGET ROSE PTA
Entity Type: Individual
Taxonomy Code: 225200000X
Specialty: Physical Therapy Assistant
License Number: 160005138
Most Important Dates
Enumeration Date: 11/04/2015
Last Updated: 11/04/2015
Provider Practice Location
600 W OWENS ST
CARBONDALE
IL
629011246
Practice Location Phone/Fax
Phone: 6189675186
Fax:
Provider Mailing Location
600 W OWENS ST
CARBONDALE
IL
629011246
Provider Mailing Phone/Fax
Phone: 6189675186
Fax: