| Doctor Name: | MR. ROGER JAMES RALEIGH |
| NPI Number: | 1205250370 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | PT16907 |
| Business Practice Address: | 3349 Nw 47th Ave Coconut Creek, FL - 330635904 |
| Business Phone Number: | 9545576554 |
| Business Fax Number: | 9549759632 |
| Mailing Address: | 3349 Nw 47th Ave, COCONUT CREEK |
| State: | FL |
| Postal Code: | 330635904 |
| Phone Number: | 9545576554 |
| Fax Number: | 9549759632 |
| NPI Enumeration Date: | 02/10/2014 |
| NPI Last Update Date: | 02/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT16907 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |