Stacia Sue Roggenbaum

NPI #1619743325 in Bradford, Pennsylvania

Provider Information

NPI Number: 1619743325
Entity Type: Individual
Name: Stacia Sue Roggenbaum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 4, 2023
Last Updated: Dec 4, 2023

Practice Location

Address: 100 SAINT FRANCIS DR
City: Bradford
State: Pennsylvania
ZIP Code: 16701-1868
Phone: (814) 368-5648

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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