JOHN CHARLES DELAROSA

COOS BAY, OR
NPI1003180241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  61396)
Additional Taxonomies225100000X Physical Therapist
(Licence: NY  034812)
Enumeration Date2012-03-06
Last Update Date2018-06-04
Business Address
JOHN CHARLES DELAROSA
2645 N 17TH ST
COOS BAY, OR 97420
Phone number: 541-266-3658
Mailing Address
JOHN CHARLES DELAROSA
2645 N 17TH ST
COOS BAY, OR 97420-2134
Phone number: 541-266-3658