Individual
JONATHAN SHANE ROSSI STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4020 WAKE FOREST RD STE 105, RALEIGH, NC 27609-6866
(919) 714-7733
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20228
NC
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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