Individual
JESSICA SELF ROSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3421 SOUTH SHADES CREST RD, STE 107, HOOVER, AL 35244-3551
(205) 987-6501
(205) 987-6503
Mailing address
3421 SOUTH SHADES CREST RD, STE 107, HOOVER, AL 35244-3551
(205) 987-6501
(205) 987-6503
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH4956
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51545232
BCBS AL
AL
Enumeration date
03/06/2007
Last updated
07/25/2008
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