Provider Demographics
NPI:1265897102
Name:ROSSI, KATE (DPT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:ROSSI
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 1:101 BURRS RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-5517
Mailing Address - Country:US
Mailing Address - Phone:609-261-4330
Mailing Address - Fax:
Practice Address - Street 1:101 BURRS RD
Practice Address - Street 2:SUITE G
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5517
Practice Address - Country:US
Practice Address - Phone:609-261-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-18
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01404000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist