Provider Demographics
NPI:1316138365
Name:DOSS, ROSEMARY MAY (DPT)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:MAY
Last Name:DOSS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 VIRGIL ST
Mailing Address - Street 2:
Mailing Address - City:O FALLON
Mailing Address - State:MO
Mailing Address - Zip Code:63366-2637
Mailing Address - Country:US
Mailing Address - Phone:636-240-2072
Mailing Address - Fax:636-980-1946
Practice Address - Street 1:110 VIRGIL ST
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:MO
Practice Address - Zip Code:63366-2637
Practice Address - Country:US
Practice Address - Phone:636-240-2072
Practice Address - Fax:636-980-1946
Is Sole Proprietor?:No
Enumeration Date:2007-08-06
Last Update Date:2009-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20070234142251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic