Healthcare Provider Details

I. General information

NPI: 1336063742
Provider Name (Legal Business Name): ISABELLA ROGLER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CANAL ST
MILLBURY MA
01527-3253
US

IV. Provider business mailing address

473 RIVER RD
LINCOLN RI
02865-1424
US

V. Phone/Fax

Practice location:
  • Phone: 508-581-8703
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL89937
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: