Individual
JACQUELINE ROUSSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3545 FRONTAGE ROAD, STE 250, MURRELLS INLET, SC 29576
(854) 854-8551
Mailing address
21 WALNUT ST, CRAFTON, PA 15205-3116
(412) 849-4289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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