Individual
DENA LYNNE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
109 VIERSE DR, FARMINGTON, MO 63640-1323
(573) 756-2937
(573) 756-2939
Mailing address
109 VIERSE DR, FARMINGTON, MO 63640-1323
(573) 756-7848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02200
MO
Other
Enumeration date
08/31/2006
Last updated
07/26/2018
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