Individual
MS. JUDITH STARR ROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
147 REINHARDT COLLEGE PKWY, SUITE 9, CANTON, GA 30114-5641
(770) 345-3057
(770) 345-3154
Mailing address
142 HUBBARD RD, WOODSTOCK, GA 30188-5005
(770) 851-3614
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1493
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52242462
BLUE CROSS BLUE SHIELD
GA
Enumeration date
04/26/2006
Last updated
04/20/2008
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