Individual
JOHN BRYCE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3285 MAIN ST, KEOKUK, IA 52632-2263
(319) 524-6274
Mailing address
1802 GRAND AVE, KEOKUK, IA 52632-2944
(319) 325-8089
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
098683
IA
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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