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Organization
STEPHEN C. ROSE PHYSICAL THERAPY
Active
Organization
STEPHEN C. ROSE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN CRAIG ROSE P.T. (OWNER/PHYSICAL THERAPIST)
(559) 791-1778
Entity
Organization
Contact information
Practice address
25 EAST THURMAN AVE, PORTERVILLE, CA 93257
(559) 791-1778
(559) 791-1771
Mailing address
PO BOX 790, PORTERVILLE, CA 93258-0790
(559) 791-1778
(559) 791-1771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPT000940
—
CA
01
—
P59986
UPIN
CA
Enumeration date
10/02/2007
Last updated
10/02/2007
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