Individual
JOHN CHARLES DELAROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2645 N 17TH ST, COOS BAY, OR 97420
(541) 266-3658
Mailing address
2645 N 17TH ST, COOS BAY, OR 97420-2134
(541) 266-3658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
034812
NY
225100000X
Physical Therapist
Primary
61396
OR
Other
Enumeration date
03/06/2012
Last updated
06/04/2018
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