Individual
CHRISTINE ROGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1715 ROUTE 88, BRICK, NJ 08724-3008
(732) 458-7976
Mailing address
1715 ROUTE 88, BRICK, NJ 08724-3008
(732) 458-7976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA009307
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00930700
LICENSE
NJ
Enumeration date
10/10/2007
Last updated
10/10/2007
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