Henderson, Roger

Henderson, Roger is an individual health care provider with primary practice located at 1954 Rockledge Blvd Ste 119 , Rockledge FL 32955-3761. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Henderson, Roger can be contacted via phone (321) 433-1500.

Contact Information

Primary practice address
1954 Rockledge Blvd Ste 119 Rockledge FL 32955-3761
Phone: (321) 433-1500
Fax: (321) 433-1556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X PT19703 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT19703 Florida

Profile Details

NPI number 1073557070
LBN Legal business name Henderson, Roger
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jan 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073557070 NPPES
Florida Other Y043L BCBS OF FLORIDA

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