Individual
DIANE F ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5440 CHARLESGATE RD, HUBER HEIGHTS, OH 45424-1049
(937) 620-2852
Mailing address
5440 CHARLESGATE RD, HUBER HEIGHTS, OH 45424-1049
(937) 236-6770
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA004675
OH
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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