Provider Demographics
NPI:1669709358
Name:ROSMARIN, DEBORAH JAMES (MPT)
Entity type:Individual
Prefix:MR
First Name:DEBORAH
Middle Name:JAMES
Last Name:ROSMARIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 WILLOWLAKE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-4410
Mailing Address - Country:US
Mailing Address - Phone:407-444-0421
Mailing Address - Fax:
Practice Address - Street 1:934 WILLISTON PARK PT
Practice Address - Street 2:SUITE NUMBER 1020
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2165
Practice Address - Country:US
Practice Address - Phone:407-829-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 17540225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist