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Individual
ROGER SCOTT WEGLEY
Active
Individual
ROGER SCOTT WEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1018
OR
225100000X
Physical Therapist
PT-26 72
ID
225100000X
Physical Therapist
Primary
PT00003235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0054187
WASHINGTON L&I
WA
01
—
0274833
WA L & I
WA
01
—
0321841
WASHINGTON L & I
WA
01
—
0330318
WA L&I
ID
05
—
1039348
—
WA
05
—
1306829254
—
WA
05
—
1306829254 - 000
—
ID
05
—
500630816
—
OR
01
—
650007475
RR MEDICARE
WA
05
—
8334864
—
WA
01
—
P01564222
RR MEDICARE
WA
01
—
P01689894
RR MEDICARE
ID
Enumeration date
11/23/2005
Last updated
10/11/2016
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