Rotella, Mark A

Rotella, Mark A is an individual health care provider with primary practice located at 1001 Waterman Ave , East Providence RI 02914-1314. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rotella, Mark A can be contacted via phone (401) 434-1773.

Contact Information

Primary practice address
1001 Waterman Ave East Providence RI 02914-1314
Phone: (401) 434-1773
Fax: (401) 435-0500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 02006 Rhode Island
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 007027 Connecticut

Profile Details

NPI number 1104870773
LBN Legal business name Rotella, Mark A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2011 - about 15 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 1104870773 NPPES
Connecticut Other 1114979226 AETNA
Connecticut Other 1114979226 AETNA
Connecticut Other 1114979226 AETNA

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