Individual
MRS. LAURA C. ROSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
50 GOLD STAR BLVD, WORCESTER, MA 01606
(508) 856-9510
(508) 853-1907
Mailing address
5 NEPONSET ST FL ST2, WORCESTER, MA 01606-2714
(508) 856-9510
(508) 853-1907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20326
MA
225100000X
Physical Therapist
2305204381
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010333792
—
VA
01
—
7001790
AETNA
VA
01
—
P00331603
MEDICARE RAILROAD
VA
Enumeration date
04/10/2006
Last updated
11/30/2018
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