Individual
MR. LEONARD PAUL ROGGEVEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
502 REDBIRD RUN, TIFFIN, IA 52340-9310
(319) 430-4960
Mailing address
502 REDBIRD RUN, TIFFIN, IA 52340-9310
(319) 430-4960
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
437
IA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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