Piedalue, Roselis Edith

Piedalue, Roselis Edith is an sole proprietor health care provider with primary practice located at 28710 Pearl Bridge Ln , Katy TX 77494-3876. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Piedalue, Roselis Edith can be contacted via phone (720) 499-7880.

Contact Information

Primary practice address
28710 Pearl Bridge Ln Katy TX 77494-3876
Phone: (720) 499-7880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT134317 Texas

Profile Details

NPI number 1114517174
LBN Legal business name Piedalue, Roselis Edith
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2021
Last updated Jan 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114517174 NPPES
Colorado MEDICAID 82-1438740

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