Individual
MRS. SUSAN R ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10321 N 2274 RD, CLINTON, OK 73601-7521
(580) 331-3445
Mailing address
10865 HIGHWAY 54, WEATHERFORD, OK 73096-3171
(580) 343-2140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1839
OK
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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