Individual
IRASEMA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 FRANCAM DR STE 124, FAYETTEVILLE, NC 28311-4500
(910) 229-3924
Mailing address
199 BOURBON ST, RAEFORD, NC 28376-1169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A7310
NC
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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