Provider Demographics
NPI:1881895605
Name:ROSA CHIROPRACTIC AND PHYSICAL THERAPY CENTER LLC
Entity type:Organization
Organization Name:ROSA CHIROPRACTIC AND PHYSICAL THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-545-0800
Mailing Address - Street 1:1 RESEARCH CT STE 160
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3299
Mailing Address - Country:US
Mailing Address - Phone:301-545-0800
Mailing Address - Fax:301-545-0885
Practice Address - Street 1:1 RESEARCH CT STE 160
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3299
Practice Address - Country:US
Practice Address - Phone:301-545-0800
Practice Address - Fax:301-545-0885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty