Individual
MR. RONALD SCOTT ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
914 S SCHEUBER ROAD, PROVIDENCE CENTRALIA HOSPITAL, CENTRALIA, WA 98532
(360) 330-8720
(360) 330-8737
Mailing address
914 S SCHEUBER ROAD, PROVIDENCE CENTRALIA HOSPITAL, CENTRALIA, WA 98532
(360) 330-8720
(360) 330-8737
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160031565
WA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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