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Individual

CHRISTOPHER P ROOSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
19785 CRYSTAL ROCK DR STE 311, GERMANTOWN, MD 20874-4732
(301) 540-3529
(301) 540-3623
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21395
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2160584
UNITED HEALTHCARE
01
647650-05
BCBS OF MARYLAND
01
7914198
AETNA
01
T208
BLUECHOICE/GHSMI
Enumeration date
12/28/2006
Last updated
04/16/2019
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