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Individual
ROGER HENDERSON
Active
Individual
ROGER HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PT19703
FL
225100000X
Physical Therapist
Primary
PT19703
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y043L
BCBS OF FLORIDA
FL
Enumeration date
06/16/2006
Last updated
04/21/2026
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