Individual
DOUGLAS ROSENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7080 DEEPAGE DR, COLUMBIA, MD 21045-5219
(410) 381-7000
(410) 381-3779
Mailing address
7080 DEEPAGE DR, COLUMBIA, MD 21045-5219
(410) 381-7000
(410) 381-3779
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18876
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KBX3
BLUE SHIELD MD
MD
01
—
S429
BLUE SHIELD DC
MD
Enumeration date
01/24/2007
Last updated
07/08/2007
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