Datuin, Maria Rossana S.

Datuin, Maria Rossana S. is an individual health care provider with primary practice located at 616 W Forest Ave , Jackson TN 38301-3902. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Datuin, Maria Rossana S. can be contacted via phone (731) 422-0330.

Contact Information

Primary practice address
616 W Forest Ave Jackson TN 38301-3902
Phone: (731) 422-0330
Fax: (731) 422-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT4194 Tennessee

Profile Details

NPI number 1649248097
LBN Legal business name Datuin, Maria Rossana S.
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Feb 14th, 2012 - about 14 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 1649248097 NPPES
Tennessee MEDICAID 3652656

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