Individual
JAMES EDWARD ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6929 MATTHEW PL, SPRINGFIELD, VA 22151-3607
(703) 813-1800
Mailing address
43835 CHLOE TER, ASHBURN, VA 20147-3807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602513
VA
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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