Individual
KATHRYN ROOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2175 STATE ROAD 4, PINON, AZ 86510
(928) 725-9500
Mailing address
PO BOX 10, PINON, AZ 86510-0010
(928) 725-9500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-31197
AZ
Other
Enumeration date
03/26/2020
Last updated
06/11/2021
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