Individual
SARAH ROGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(802) 522-8688
Mailing address
631 S COLLEGE AVE, NEWARK, DE 19716-2010
(802) 522-8688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0000636
DE
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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