Individual
MR. CHRISTOPHER J ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT, MPH
Contact information
Practice address
3033 CLEVELAND AVE, #205, SANTA ROSA, CA 95403-2126
(707) 542-8313
Mailing address
3033 CLEVELAND AVE, #205, SANTA ROSA, CA 95403-2126
(707) 542-8313
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21408
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64164Z
BLUESHIELD
CA
Enumeration date
04/24/2007
Last updated
10/07/2014
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