Provider Demographics
NPI:1780895821
Name:ROZIC, ALICE E (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:E
Last Name:ROZIC
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 SHADYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2326
Mailing Address - Country:US
Mailing Address - Phone:614-451-1285
Mailing Address - Fax:
Practice Address - Street 1:625 AFRICA RD STE 160
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-9808
Practice Address - Country:US
Practice Address - Phone:614-392-2771
Practice Address - Fax:614-392-2531
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2018-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH83092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic