Provider Demographics
NPI:1942434253
Name:ROSEMAN, PAMELA JOYCE (PT)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:JOYCE
Last Name:ROSEMAN
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 1:322 MOCKSVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-3328
Mailing Address - Country:US
Mailing Address - Phone:704-213-4952
Mailing Address - Fax:704-638-9788
Practice Address - Street 1:220 BERNHARDT RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-9602
Practice Address - Country:US
Practice Address - Phone:704-213-4952
Practice Address - Fax:704-638-9788
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2506118Medicare PIN