Doctor Name: | ALICIA ROESGER |
NPI Number: | 1245606623 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 075402 |
Business Practice Address: | 2002 Cedar St Muscatine, IA - 527612612 |
Business Phone Number: | 5632642023 |
Business Fax Number: | |
Mailing Address: | 2002 Cedar St, MUSCATINE |
State: | IA |
Postal Code: | 527612612 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/19/2015 |
NPI Last Update Date: | 08/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 075402 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |