Provider Demographics
NPI:1699787754
Name:ARNETT, ROSA (LMT)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:ARNETT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:
Other - Last Name:ARNETT-MANWARING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:370 PARK AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024
Mailing Address - Country:US
Mailing Address - Phone:440-286-7672
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY HOSPITALS HEALTH SYSTEM, HEATHER HILL HOSPIT
Practice Address - Street 2:12340 BASS LAKE ROAD
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024
Practice Address - Country:US
Practice Address - Phone:440-286-7672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33005358174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist