Individual
DYLAN ROBERT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2498 WASHINGTON RD STE A, THOMSON, GA 30824-6600
(706) 391-6232
(706) 842-6751
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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