Provider Demographics
NPI:1497366074
Name:SMITH, ROSEMARY JOSEFA (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARY
Middle Name:JOSEFA
Last Name:SMITH
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 1:5 SOCIETY HILL WAY
Mailing Address - Street 2:
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3801
Mailing Address - Country:US
Mailing Address - Phone:732-245-9204
Mailing Address - Fax:
Practice Address - Street 1:558 ROUTE 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5066
Practice Address - Country:US
Practice Address - Phone:732-219-5700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist