Individual
GREGORY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 ISAACS AVE, WALLA WALLA, WA 99362-2357
(909) 557-3283
Mailing address
15 JADE ST, WALLA WALLA, WA 99362-1628
(909) 557-3283
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60236994
WA
Other
Enumeration date
07/18/2017
Last updated
04/30/2026
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