Diane F Rose, PTA
Physical Therapy Assistant in Huber Heights, OH. Individual provider (NPI-1).
NPI number1174367486
StatusActive
Last updated in NPPESJun 21, 2024
Details
- NPI
- 1174367486
- Entity type
- Individual (NPI-1)
- Name
- Diane F Rose
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2024
- Certification date
- Jun 21, 2024
- Last updated
- Jun 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA004675 | OH | Yes |
Practice location
5440 Charlesgate RdHuber Heights, OH 45424-1049
Phone 937-620-2852
Mailing address
5440 Charlesgate RdHuber Heights, OH 45424-1049
Phone 937-236-6770
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.