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1194817767
ROGER CHARLES ANDERSON
SOUTHFIELD, MI
NPI
1194817767
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501004487)
Enumeration Date
2006-09-29
Last Update Date
2021-06-08
Business Address
Mr. ROGER CHARLES ANDERSON P.T.
21700 NORTHWESTERN HWY STE 900
SOUTHFIELD, MI 48075-4906
Phone number: 248-556-9106
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Mailing Address
Mr. ROGER CHARLES ANDERSON P.T.
38250 FAIRWAY COURT #70
CLINTON TOWNSHIP, MI 48038
Phone number: 586-263-3770
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