| Juan Rosales Jr, | |
|
823 17th St Nw, East Grand Forks, MN 56721-1125 | |
| (701) 741-0239 | |
| Not Available |
| Full Name | Juan Rosales Jr |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 823 17th St Nw, East Grand Forks, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609346568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 119536 (Texas) | Primary |
| Provider Name | One Choice Physical Therapy Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1912416744 PECOS PAC ID: 2567720402 Enrollment ID: O20171221002642 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan Rosales Jr, 823 17th St Nw, East Grand Forks, MN 56721-1125 Ph: (701) 741-0239 | Juan Rosales Jr, 823 17th St Nw, East Grand Forks, MN 56721-1125 Ph: (701) 741-0239 |
Lisa Jean Jeffrey Brown, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1505 Central Ave Nw, East Grand Forks, MN 56721 Phone: 701-739-6403 | |
Paige Nicole Simonson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 625 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5858 | |
Alexis Marie Hanevold, O.T Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 625 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-5858 |