Individual
MR. CHRISTOPHER DEREK ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
520 COOK ST STE D, MADISONVILLE, TN 37354-1533
(423) 442-1440
Mailing address
145 WARREN ST APT 16, MADISONVILLE, TN 37354-1062
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000006473
TN
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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