John Charles Delarosa
Physical Therapist
2645 N 17th St
Coos Bay
, Oregon 97420
John Charles Delarosa
Physical Therapist
2645 N 17th St
Coos Bay
, Oregon 97420
(541) 266-3658
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- John Charles Delarosa
- 2645 N 17th St
- Coos Bay, OR
- Zip : 97420-2134
- Phone : (541) 266-3658
Second Address
- John Charles Delarosa
- 2645 N 17th St
- Coos Bay, OR
- Zip : 97420
- Phone : (541) 266-3658
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 034812 | NY |
| Y | 225100000X | Physical Therapist | 61396 | OR |
National Provider Identifier
| NPI | 1003180241 |
|---|---|
| Provider Name | John Charles Delarosa |
| First Address | Coos Bay, OR 97420-2134 |
| Second Address | Coos Bay, OR 97420 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/03/2012 |
| Last Update Date | 04/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.