Individual
NICHOLAS ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1010 S POLK ST, SUITE 2, COVINGTON, LA 70433-2474
(985) 809-9088
(985) 809-9270
Mailing address
1010 S POLK ST, SUITE 2, COVINGTON, LA 70433-2474
(985) 809-9088
(985) 809-9270
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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