Individual
PATRICK ROGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9282 CHAUTAUQUA RD, FREDONIA, NY 14063-9521
(716) 640-4510
Mailing address
9282 CHAUTAUQUA RD, FREDONIA, NY 14063-9521
(716) 640-4510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
032680-01
NY
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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