Individual
PHYLLIS MARJANN ROSSON
Active
Individual
PHYLLIS MARJANN ROSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TA922
OK
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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