Provider Demographics
NPI:1780916825
Name:TOWNSEND, ROSE LEVONDE (DPT)
Entity type:Individual
Prefix:MISS
First Name:ROSE
Middle Name:LEVONDE
Last Name:TOWNSEND
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 1:6935 GEORGIA AVE NW APT A
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2471
Mailing Address - Country:US
Mailing Address - Phone:202-361-1840
Mailing Address - Fax:202-291-2082
Practice Address - Street 1:6935 GEORGIA AVE NW APT A
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2471
Practice Address - Country:US
Practice Address - Phone:202-361-1840
Practice Address - Fax:202-291-2082
Is Sole Proprietor?:No
Enumeration Date:2010-01-30
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT8704922251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics