Individual
JACOB CARMELO ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
36 RALPH RD, WEST ORANGE, NJ 07052-1713
(917) 250-4804
Mailing address
36 RALPH RD, WEST ORANGE, NJ 07052-1713
(917) 250-4804
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02210300
NJ
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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