Provider Demographics
NPI:1013444744
Name:GIARDINA, ROSEMARY (DPT)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:
Last Name:GIARDINA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 LANDERHAVEN DR
Mailing Address - Street 2:SUITE A1
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4190
Mailing Address - Country:US
Mailing Address - Phone:440-449-3400
Mailing Address - Fax:
Practice Address - Street 1:6001 LANDERHAVEN DR
Practice Address - Street 2:SUITE A1
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4190
Practice Address - Country:US
Practice Address - Phone:440-449-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist