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Individual
MATTHEW STEPHEN ROGERS
Active
Individual
MATTHEW STEPHEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00866623
RR MEDICARE
OR
Enumeration date
06/17/2009
Last updated
08/19/2016
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