NPI 1073235636

Cedric Michael Rogers, PTA

Practitioner Physical Therapy Assistant Myrtle Beach, SC

Practice location

Address: 210 Village Center Blvd, Myrtle Beach, SC 29579-6706
Phone: (843) 353-3460
Mailing address: 511 Hinson Dr APT 136, Myrtle Beach, SC 29579-4443

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 4735 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1073235636
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Sep 2022
Record last updated: 12 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.