Individual
KERVIN JAY ABRERO ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1227 ROCKBRIDGE RD STE 402, STONE MOUNTAIN, GA 30087-3006
(510) 391-1463
Mailing address
1580 SAWGRASS CORPORATE PARKWAY,, SUNRISE, FL 33323-2869
(510) 391-1463
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12284
CT
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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