Individual
MARK W ROSHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
784 GRAVOIS BLUFFS BLVD, FENTON, MO 63026-7726
(636) 349-8060
(636) 349-9171
Mailing address
600 OAKMONT LN STE 600C, WESTMONT, IL 60559-5548
(630) 575-6200
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
102416
MO
Other
Enumeration date
08/29/2006
Last updated
06/03/2019
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