Individual
CHRISTOPHER N LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4520 EXECUTIVE DRIVE, SUITE 101, SAN DIEGO, CA 92121
(858) 535-1075
(858) 453-9810
Mailing address
9850 GENESEE AVENUE, SUITE 210, LA JOLLA, CA 92037
(858) 535-1075
(858) 453-9810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PG20767
CA
2251X0800X
Orthopedic Physical Therapist
PG20767
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WPT207670
PPIN
—
Enumeration date
07/17/2006
Last updated
04/02/2015
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