Individual
ROSE DEFEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
12966 SW 89TH AVE, MIAMI, FL 33176-5850
(786) 554-8920
(786) 661-4862
Mailing address
14052 SW 156TH AVE, MIAMI, FL 33196-6066
(860) 575-3347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008710
CT
2251P0200X
Pediatric Physical Therapist
Primary
36426
FL
Other
Enumeration date
08/17/2015
Last updated
09/22/2021
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