Individual
MRS. TINA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11041 N 137TH ST, WAVERLY, NE 68462-1022
(402) 786-2626
Mailing address
11041 N 137TH ST, WAVERLY, NE 68462-1022
(402) 786-2626
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
337
NE
Other
Enumeration date
02/12/2014
Last updated
02/12/2014
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