Individual
ROBERT RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
443 LAZIO CIR, DEBARY, FL 32713-4740
(407) 721-2388
Mailing address
443 LAZIO CIR, DEBARY, FL 32713-4740
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA23723
FL
225200000X
Physical Therapy Assistant
Primary
PTA23723
FL
Other
Enumeration date
01/05/2018
Last updated
04/24/2023
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