Individual
KATHLEEN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
550 BURNETT RD, MOUNT JULIET, TN 37122-6201
(615) 533-6659
Mailing address
550 BURNETT RD, MOUNT JULIET, TN 37122-6201
(615) 533-6659
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7090
TN
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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