Individual
MR. BRYAN MICHAEL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
737 PENN ST, MOUNT AIRY, NC 27030-5317
(336) 719-7129
Mailing address
615 S POPLAR ST, WINSTON SALEM, NC 27101-5853
(336) 724-2656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9515
NC
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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