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Individual
MR. JEFFREY R ROSAS
Active
Individual
MR. JEFFREY R ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
2101112
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
452639073
RELIANT REHAB
TX
Enumeration date
05/07/2019
Last updated
05/07/2019
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