Individual
MS. JILL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4901 RIDGE RD, LOCKPORT, NY 14094-9721
(716) 433-4196
(716) 433-4196
Mailing address
4901 RIDGE RD, LOCKPORT, NY 14094-9721
(716) 433-4196
(716) 433-4196
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
002226-1
NY
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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