Individual
ALEXANDRA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
204 SHADY PINES CT, FOUNTAIN INN, SC 29644-9785
(864) 408-9509
Mailing address
805 S OLD FAIRVIEW RD, FOUNTAIN INN, SC 29644-9726
(864) 346-4123
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5483
SC
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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