Individual
MR. RANDY JOE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5559 CANAL BLVD., NEW ORLEANS, LA 70124-2745
(504) 235-6759
(504) 835-8276
Mailing address
5559 CANAL BLVD, NEW ORLEANS, LA 70124-2745
(504) 235-6759
(504) 835-8276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02575R
LA
2251C2600X
Cardiopulmonary Physical Therapist
02575R
LA
2251E1200X
Ergonomics Physical Therapist
02575R
LA
2251E1300X
Clinical Electrophysiology Physical Therapist
02575R
LA
2251G0304X
Geriatric Physical Therapist
02575R
LA
2251H1200X
Hand Physical Therapist
02575R
LA
2251H1300X
Human Factors Physical Therapist
02575R
LA
2251N0400X
Neurology Physical Therapist
02575R
LA
2251S0007X
Sports Physical Therapist
02575R
LA
2251X0800X
Orthopedic Physical Therapist
02575R
LA
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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