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Individual

DOUGLAS G ROLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
900 HOLCOMB BLVD STE A, OCEAN SPRINGS, MS 39564
(228) 872-6821
(228) 872-6891
Mailing address
PO BOX 834, OCEAN SPRINGS, MS 39566-0834
(228) 872-6821
(228) 872-6891

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0926
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124035
MS
Enumeration date
08/31/2006
Last updated
06/14/2024
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