Individual
MISS KATHLEEN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7503 MARITIME LN, SPRINGFIELD, VA 22153-1626
(757) 334-4402
Mailing address
14043 PRATER CT, JACKSONVILLE, FL 32224-0867
(757) 334-4402
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
PT30360
FL
225100000X
Physical Therapist
PT30360
FL
2251P0200X
Pediatric Physical Therapist
30360
FL
Other
Enumeration date
06/04/2015
Last updated
11/28/2022
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