Provider Demographics
NPI:1841329257
Name:ROGIC, TOMISLAV (DPT, ATC)
Entity type:Individual
Prefix:MR
First Name:TOMISLAV
Middle Name:
Last Name:ROGIC
Suffix:
Gender:M
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:212 CALEF HWY
Mailing Address - Street 2:EPPING REGIONAL HEALTH CENTER- EXETER HOSPITAL
Mailing Address - City:EPPING
Mailing Address - State:NH
Mailing Address - Zip Code:03042-2322
Mailing Address - Country:US
Mailing Address - Phone:603-777-1886
Mailing Address - Fax:603-777-1893
Practice Address - Street 1:212 CALEF HWY
Practice Address - Street 2:EPPING REGIONAL HEALTH CENTER- EXETER HOSPITAL
Practice Address - City:EPPING
Practice Address - State:NH
Practice Address - Zip Code:03042-2322
Practice Address - Country:US
Practice Address - Phone:603-777-1886
Practice Address - Fax:603-777-1893
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02392225100000X
NH3709225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist