Individual
ROSE COPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
809 S BROAD ST SW, ROME, GA 30161-4654
(706) 235-1337
Mailing address
18 GROVE PARK CIR, CARTERSVILLE, GA 30120-8472
(706) 331-8194
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003592
GA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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