Individual
BRENDA MARIE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
10829 MOSHIE LN, SAN ANTONIO, FL 33576-7945
(336) 671-8917
Mailing address
10829 MOSHIE LN, SAN ANTONIO, FL 33576-7945
(336) 671-8917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
8038
NC
225100000X
Physical Therapist
Primary
PT30446
FL
Other
Enumeration date
04/07/2010
Last updated
01/06/2023
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