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Individual

MRS. KRISTINE L ROUSH

Active
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Individual

MRS. KRISTINE L ROUSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501008956
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4597265
MI
01
650B810890
BLUE CROSS BLUE SHIELD
MI
01
P00097059
RR MEDICARE
MI
Enumeration date
02/20/2007
Last updated
07/08/2007
About Stedi
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  • EDI platform