Individual
MRS. CAROLINA MESA DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
780 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 873-4856
(610) 873-4859
Mailing address
325 BUCKEYE LN, WEST CHESTER, PA 19382-6119
(757) 645-8368
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT019923
PA
Other
Enumeration date
12/14/2009
Last updated
12/14/2009
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