Provider Demographics
NPI:1811931561
Name:ROSZELL, CYNTHIA C (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:C
Last Name:ROSZELL
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 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:630-296-2222
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:636 MONTGOMERY HWY
Practice Address - Street 2:
Practice Address - City:VESTAVIA
Practice Address - State:AL
Practice Address - Zip Code:35216-1810
Practice Address - Country:US
Practice Address - Phone:205-508-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH3706225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51515856OtherBC BS
AL51515876OtherBC BS
AL51515874OtherBC BS
AL51523004OtherBC BS
AL51515875OtherBC BS
AL51515877OtherBC BS
AL51515878OtherBC BS
AL51515874OtherBC BS