Individual
BRANDON ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5921 SE 14TH ST, # 2000, DES MOINES, IA 50320-1746
(515) 953-0024
Mailing address
5921 SE 14TH ST, # 2000, DES MOINES, IA 50320-1746
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
074037
IA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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