Individual
TYLER ROSEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
626 RUTHERFORD RD, HARRISBURG, PA 17109-5227
(717) 541-1662
Mailing address
142 S 8TH ST, PHILLIPSBURG, NJ 08865-1830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005837
PA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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