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Contact Information

RYAN M DEROSE, DPT
2500 OVERLOOK TER
MADISON, WI53705-2254
 Phone: 608-280-7036
 Fax: 608-280-7079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation Hospital

283X00000X A0[7] Hospital-Rehabilitation (PPS excluded)
Indicates primary specialty

NPI Profile & details for RYAN M DEROSE · (Male)

NPI Number 1902142755
Status Active
Credentials DPT (Doctorate of Physical Therapy)
Entity Individual
Enumeration date 12/26/2012
Last updated 12/26/2012 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 12121-24
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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