Individual
MRS. MELANIE MAE ROSA
Active
Individual
MRS. MELANIE MAE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
381PT
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0348585
—
MT
05
—
1821118423
—
MT
01
—
61108
BLUE CROSS/BLUE SHIELD
MT
01
—
650025160
RAILROAD MEDICARE
MT
Enumeration date
03/01/2006
Last updated
02/17/2025
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