Individual
KASEY ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 CHESTNUT ST, MEADVILLE, PA 16335-4404
(814) 333-4400
Mailing address
2762 WALLACEVILLE RD, TITUSVILLE, PA 16354-6666
(814) 827-3457
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1004409
PA
Other
Enumeration date
04/23/2016
Last updated
05/10/2016
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