Provider Demographics
NPI:1306962501
Name:SOULCHECK, ROGER (RPT)
Entity type:Individual
Prefix:
First Name:ROGER
Middle Name:
Last Name:SOULCHECK
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 S 1ST ST
Mailing Address - Street 2:SUITE 1800
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1938
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 S 1ST ST
Practice Address - Street 2:SUITE 1800
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1938
Practice Address - Country:US
Practice Address - Phone:818-558-7252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29223225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist