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Individual
LISA RODGERS
Active
Individual
LISA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
015254
OH
225100000X
Physical Therapist
Primary
7719
SC
225100000X
Physical Therapist
PT023770
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7719
SOUTH CAROLINA BOARD OF PHYSICAL THERAPY
SC
Enumeration date
12/19/2016
Last updated
03/15/2021
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