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NPI Code Detail

MEDICARE: MR. WILLIAM PARKER ROGERS MPT, ATC

MEDICARE:  MR. WILLIAM PARKER ROGERS  MPT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT001379EPA

General Provider Information

NPI Number : 1043282874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM PARKER ROGERS MPT, ATC
Provider Business Mailing Address
First Line : 5635 STEUBENVILLE PIKE
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1415
Country : US
Telephone Number : 412-787-8616
Fax Number : 412-787-8618
Provider Business Practice Location Address
First Line : 5635 STEUBENVILLE PIKE
Second Line :
City : MC KEES ROCKS
State : PA
Zip : 15136-1415
Country : US
Telephone Number : 412-787-8616
Fax Number : 412-787-8618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2006
Last Update Date : 07/01/2010

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