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Gerald Rogers

Physical Therapist in Ellicott City, MD. Individual provider (NPI-1).

NPI number1346359080
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1346359080
Entity type
Individual (NPI-1)
Name
Gerald Rogers
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

3570 Saint Johns Ln
Ellicott City, MD 21042-4020

Phone 410-465-1080

Mailing address

Po Box 276
West Friendship, MD 21794-0276

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