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MARY JOY DELA ROSA RPT
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1669503991
Individual Registrant: MARY JOY DELA ROSA RPT
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
391 N STATE RD SUITE A OTISVILLE, MI 48463-9486 US
Tel: 810-631-4454 Fax: --
Tel: 810-631-4454 Fax: --
Contact information for business:
20005 WILSON ST GRAND BLANC, MI 48439-7206 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1669503991
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | MI | 5501010375 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
