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Individual

JOEL ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
1395 N COURTENAY PKWY STE 102, MERRITT ISLAND, FL 32953-4474
(321) 986-8812
Mailing address
1395 N COURTENAY PKWY STE 102, MERRITT ISLAND, FL 32953-4474
(321) 986-8812

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32761
FL

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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