Individual
CARLY LAYNE ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3870 GLEN FALLS DR, BLOOMFIELD, MI 48302-1225
(248) 752-4396
Mailing address
3870 GLEN FALLS DR, BLOOMFIELD, MI 48302-1225
(248) 752-4396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501302367
MI
225100000X
Physical Therapist
61535543
WA
225100000X
Physical Therapist
64948
OR
225100000X
Physical Therapist
LPT-033848
AZ
Other
Enumeration date
04/17/2023
Last updated
10/28/2024
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