Xavier Antione Rosemond PTA

NPI 1760704001 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1760704001
Gender Male
Enumeration Date 02/26/2010
Last Updated 02/26/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
379 PINEHAVEN ST. EXT
LAURENS SC, 29360-2671, US
Phone (864) 984-6585
Fax
Business Location
1175 HAYWOOD RD
12N
GREENVILLE SC, 29615-2285, US
Phone (864) 255-4379
Fax
Toxanomy
Taxonomy Code 225200000X
License State South Carolina
License Number 2449
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According to our database, Mr. Xavier Antione Rosemond PTA NPI is 1760704001, taxonomy code is 225200000X and license number is 2449, license state is located at South Carolina. Xavier Antione Rosemond PTA physically located at 379 Pinehaven St. Ext, Laurens SC, 29360-2671. NPI Number Xavier Antione Rosemond PTA has the Individual type.

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1760704001 NPI number is provided on an as is basis without warranty of any kind. 1760704001 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Antione Rosemond PTA are for informational purposes only.