Provider Demographics
NPI:1891276895
Name:LINSANGAN, ROSALYN PAMARAN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:ROSALYN
Middle Name:PAMARAN
Last Name:LINSANGAN
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 1:207 MARSHALL AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTON
Mailing Address - State:NC
Mailing Address - Zip Code:27892-2427
Mailing Address - Country:US
Mailing Address - Phone:252-799-7905
Mailing Address - Fax:
Practice Address - Street 1:119 GATLING ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTON
Practice Address - State:NC
Practice Address - Zip Code:27892-2560
Practice Address - Country:US
Practice Address - Phone:252-792-3197
Practice Address - Fax:252-792-3197
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist