Provider Demographics
NPI:1689943276
Name:CUA, ROSEMARIE M (PT, DPT)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:M
Last Name:CUA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MISS
Other - First Name:ROSEMARIE
Other - Middle Name:M
Other - Last Name:CUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:6330 S EASTERN AVE
Mailing Address - Street 2:SUITE #3
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-3104
Mailing Address - Country:US
Mailing Address - Phone:702-798-9601
Mailing Address - Fax:
Practice Address - Street 1:7730 W CHEYENNE AVE STE 105
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8411
Practice Address - Country:US
Practice Address - Phone:702-798-9601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-28
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034428-1225100000X
NV2742225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist