Individual
MS. WANDA E ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11401 COSTA ESMERALDA, CEIBA, PR 00735-3660
(939) 642-4750
Mailing address
11401 COSTA ESMERALDA, CEIBA, PR 00735-3660
(939) 642-4750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
969
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
969
PT LICENSE NUMBER
PR
Enumeration date
03/12/2007
Last updated
07/08/2007
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