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Individual

JONATHAN MICHAEL ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
930 MADISON AVE, SUITE 660, MEMPHIS, TN 38163-0001
(901) 448-2057
Mailing address
824 COUNTRY CLUB LN, ASHLAND, OH 44805-4241
(901) 734-1228

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT 8068
OH

Other

Enumeration date
05/25/2007
Last updated
07/08/2007
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