Individual
LAURIE ANNE ROSE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSED PT
Contact information
Practice address
902 NW 750TH RD, CENTERVIEW, MO 64019-9128
(816) 517-6648
(816) 230-1590
Mailing address
902 NW 750TH RD, CENTERVIEW, MO 64019-9128
(816) 517-6648
(816) 230-1590
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
R1367
MO
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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