Provider Demographics
NPI:1164067419
Name:ROSS, ABBIE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ABBIE
Middle Name:
Last Name:ROSS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7463 ROSS RD
Mailing Address - Street 2:
Mailing Address - City:LOWVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13367-1920
Mailing Address - Country:US
Mailing Address - Phone:315-771-5960
Mailing Address - Fax:
Practice Address - Street 1:2845 PARK MEADOW DR
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-8525
Practice Address - Country:US
Practice Address - Phone:315-771-5960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-11
Last Update Date:2019-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist