Individual
KENNETH BORGES ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1514 E CHELSEA ST, TAMPA, FL 33610-6114
(813) 238-6406
Mailing address
22855 CYPRESS TRAIL DR, LUTZ, FL 33549-4158
(787) 975-0867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30990
FL
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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