Individual
DEREK CHRISTOPHER ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
9565 SOQUEL DR, SUITE 204, APTOS, CA 95003-4152
(831) 239-7144
Mailing address
118 BENNETT RD, APTOS, CA 95003-4507
(831) 239-7144
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
25952
CA
2251X0800X
Orthopedic Physical Therapist
Primary
25952
CA
Other
Enumeration date
04/30/2013
Last updated
05/01/2013
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