Individual
DR. SHANE ROSONINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6181
Mailing address
2715 KNOX MCRAE DR, TITUSVILLE, FL 32780-5113
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
PT32129
FL
2251S0007X
Sports Physical Therapist
PT32129
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT32129
FL
Other
Enumeration date
08/01/2017
Last updated
04/20/2021
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