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Individual
MR. ROGER J MEADE
Active
Individual
MR. ROGER J MEADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1187
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902247
—
NC
Enumeration date
06/09/2005
Last updated
11/04/2014
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