Individual
JUSTIN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
111 PEGULA ICE ARENA, UNIVERSITY PARK, PA 16802
(814) 867-1318
Mailing address
111 PEGULA ICE ARENA, UNIVERSITY PARK, PA 16802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005486
PA
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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