Most Relevant Information
Provider Data
| NPI Number: | 1003354770 |
| Provider Name: | EMILY ROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 3678 |
Most Important Dates
| Enumeration Date: | 02/02/2017 |
| Last Updated: | 02/02/2017 |
Provider Practice Location
105 S HOLLY THORN CT
SIMPSONVILLE
SC
296815860
Practice Location Phone/Fax
| Phone: | 8642756545 |
| Fax: |
Provider Mailing Location
105 S HOLLY THORN CT
SIMPSONVILLE
SC
296815860
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |