Provider Demographics
NPI:1295461044
Name:ROGERS, BAILEY CHRISTINE (DPT)
Entity Type:Individual
Prefix:DR
First Name:BAILEY
Middle Name:CHRISTINE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CHANCELLOR PARK DR
Mailing Address - Street 2:
Mailing Address - City:MAYS LANDING
Mailing Address - State:NJ
Mailing Address - Zip Code:08330-2047
Mailing Address - Country:US
Mailing Address - Phone:609-289-7870
Mailing Address - Fax:
Practice Address - Street 1:408 RIO GRANDE AVE
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-2018
Practice Address - Country:US
Practice Address - Phone:609-204-4849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-25
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02095100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist