Individual
MS. ELIZABETH B ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, PT
Contact information
Practice address
1310 BAYSIDE CIR E, WILMINGTON, NC 28405-4102
(910) 509-2837
(910) 251-2735
Mailing address
1310 BAYSIDE CIR E, WILMINGTON, NC 28405-4102
(910) 509-2837
(910) 251-2735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
612
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0788P
BC/BS PROVIDER NUMBER
NC
05
—
720788P
—
NC
Enumeration date
07/10/2006
Last updated
07/09/2007
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