Rosenbaum, Lola Sicard
Rosenbaum, Lola Sicard is an individual health care provider with primary practice located at 405 Osigian Blvd The Cantrell Center For Physical Therapy & Sports Medic, Warner Robins GA 31088. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Rosenbaum, Lola Sicard can be contacted via phone (478) 953-3535.Contact Information
Primary practice address
405 Osigian Blvd The Cantrell Center For Physical Therapy & Sports Medic
Warner Robins GA 31088
Phone: (478) 953-3535
Fax: (478) 953-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT007078 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | PT007078 | Georgia |
Profile Details
| NPI number | 1093747503 |
|---|---|
| LBN Legal business name | Rosenbaum, Lola Sicard |
| Credentials | DPT, PT, MHS, OCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Nov 14th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093747503 | NPPES |
| Georgia | MEDICAID | 570901821A | |
| Georgia | Other | 52130765 |
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