Individual
SUSAN A ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3427 VIBURNUM DR, MADISON, WI 53705-1442
(608) 236-9374
Mailing address
3427 VIBURNUM DR, MADISON, WI 53705-1442
(608) 236-9374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
553-026
WI
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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