Provider Demographics
NPI:1760974786
Name:ROSSI, FEDERICO
Entity Type:Individual
Prefix:
First Name:FEDERICO
Middle Name:
Last Name:ROSSI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA TIEPOLO, 16
Mailing Address - Street 2:
Mailing Address - City:GROSSETO
Mailing Address - State:GROSSETO
Mailing Address - Zip Code:58100
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:503 S BROAD ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:SC
Practice Address - Zip Code:29325-2998
Practice Address - Country:US
Practice Address - Phone:660-202-2313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2018-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer