NPI 1003026311
Kellyanne Rose
Practice location
- Address
- 9000 Wakarusa St, La Mesa, CA 91942-3307
- Phone
- (619) 740-4600
- Mailing address
- 3706 Georgia St APT 8, San Diego, CA 92103-7625
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1003026311
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 23 May 2007
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.