Individual
MRS. LAURA C. ROSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
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
Update your record
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