Individual
NATHAN BRIAN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
540 MAIN ST, BELLEVILLE, MI 48111-2650
(734) 489-6440
Mailing address
1476 MARIAN AVE, ANN ARBOR, MI 48103-5728
(734) 489-6440
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
5502005370
MI
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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