Provider Demographics
NPI:1922763721
Name:ROSE HAWLEY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:ROSE HAWLEY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PT
Authorized Official - Prefix:
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-818-3978
Mailing Address - Street 1:109 PENNOCK LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4019
Mailing Address - Country:US
Mailing Address - Phone:561-818-3978
Mailing Address - Fax:
Practice Address - Street 1:109 PENNOCK LANDING CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4019
Practice Address - Country:US
Practice Address - Phone:561-818-3978
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2021-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty