Individual
ALICE ROUSSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
(540) 982-7637
Mailing address
1421 3RD ST SW, ROANOKE, VA 24016-5204
(540) 982-2208
(540) 982-7637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305006212
VA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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