Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 14630 | CO |
NPI | 1194220871 |
---|---|
Provider Name | Leah Kroll-Rosen |
First Address | Sheridan, CO 80110-2175 |
Second Address | Aurora, CO 80011-6716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2018 |
Last Update Date | 26/03/2018 |