Individual
RICHARD JOHN ROESER
Active
Individual
RICHARD JOHN ROESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2294
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025895900
—
NE
05
—
10025896000
—
NE
05
—
10025896100
—
NE
05
—
10025941700
—
NE
05
—
10026056700
—
NE
05
—
10026252200
—
NE
05
—
10026445500
—
NE
05
—
1558309906
—
IA
Enumeration date
06/04/2006
Last updated
01/31/2017
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