Individual
TERESA ROGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
15 STEPPING STONE PATH, ALEXANDER, NC 28701-9130
(510) 227-7804
Mailing address
PO BOX 275, ALEXANDER, NC 28701-0275
(510) 227-7804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19219
NC
Other
Enumeration date
01/23/2021
Last updated
01/23/2021
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