Individual
MRS. ASHLEY R ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
714 LUNDVALL AVE, ROCKFORD, IL 61107-3321
(814) 222-4056
Mailing address
714 LUNDVALL AVE, ROCKFORD, IL 61107-3321
(814) 222-4056
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002382
IL
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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