Individual
MR. ROGER W WETSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
300 HALLOCK AVE, PORT JEFFERSON STATION, NY 11776-1227
(631) 331-1070
(631) 331-1126
Mailing address
2 DATE CT, MOUNT SINAI, NY 11766-1804
(631) 928-5101
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
002266
NY
2251X0800X
Orthopedic Physical Therapist
2634
NH
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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