Individual
CLARISSA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2009 S WALNUT AVE STE 103, NEW BRAUNFELS, TX 78130-2364
(830) 507-1285
Mailing address
159 LIMERICK RD, BUDA, TX 78610-2080
(956) 463-3356
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
122180
TX
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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