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Individual

MICHAEL ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 INVERNESS CENTER PKWY, STE 200, BIRMINGHAM, AL 35242-4817
(205) 995-5192
Mailing address
3654 HAVEN VIEW CIR, BIRMINGHAM, AL 35216-4822
(205) 979-8803

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTH 3918
LICENSE #
AL
Enumeration date
08/29/2006
Last updated
07/08/2007
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