Individual
ROGER WILLIAM BLASINI-COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1722 TAGAYTAY DRIVE, FORT LIBERTY, NC 28310-0001
(910) 570-3348
Mailing address
1722 TAGAYTAY DRIVE, FORT LIBERTY, NC 28310-0001
(910) 570-3348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1876
PR
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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