Provider Demographics
NPI:1619249935
Name:SPIRALING ROSE, LLC
Entity Type:Organization
Organization Name:SPIRALING ROSE, LLC
Other - Org Name:SAN FRANCISCO GYROTONIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:SALTZBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-863-3719
Mailing Address - Street 1:26 7TH ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-1508
Mailing Address - Country:US
Mailing Address - Phone:415-863-3719
Mailing Address - Fax:415-869-1001
Practice Address - Street 1:26 7TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-1508
Practice Address - Country:US
Practice Address - Phone:415-863-3719
Practice Address - Fax:415-869-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty