Individual
TRISHA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(219) 863-2196
Mailing address
PO BOX 441, WALTON, IN 46994-0441
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002868A
IN
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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