Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 5559 | OH |
NPI | 1780825554 |
---|---|
Provider Name | Mrs. Sheila D Roush |
First Address | Dayton, OH 45409-2722 |
Second Address | Dayton, OH 45409-2722 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2009 |
Last Update Date | 09/03/2009 |