Provider Demographics
NPI:1821314550
Name:ROSNER, KRISTIN HARRIS (PT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:HARRIS
Last Name:ROSNER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10409 VOGEL PL
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20895-4072
Mailing Address - Country:US
Mailing Address - Phone:301-448-9410
Mailing Address - Fax:
Practice Address - Street 1:6208 MONTROSE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4119
Practice Address - Country:US
Practice Address - Phone:301-468-9343
Practice Address - Fax:301-230-2127
Is Sole Proprietor?:No
Enumeration Date:2010-04-20
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD214482251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics