Logan Rogers, PT, DPT | |
8220 University Exec Park Dr Ste 140, Charlotte, NC 28262-1304 | |
(704) 547-1129 | |
Not Available |
Full Name | Logan Rogers |
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Gender | Female |
Speciality | Physical Therapist |
Location | 8220 University Exec Park Dr Ste 140, Charlotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265019384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P20000 (North Carolina) | Primary |
Provider Name | Proactive Therapy Of North Carolina Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568468502 PECOS PAC ID: 6305753120 Enrollment ID: O20130207000475 |
Mailing Address | Practice Location Address |
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Logan Rogers, PT, DPT 8220 University Exec Park Dr Ste 140, Charlotte, NC 28262-1304 Ph: () - | Logan Rogers, PT, DPT 8220 University Exec Park Dr Ste 140, Charlotte, NC 28262-1304 Ph: (704) 547-1129 |
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