Individual
MRS. LAURA ROGERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1870 BAGNELL DAM BLVD, SUITE B, LAKE OZARK, MO 65049-8658
(573) 964-6010
(573) 964-6909
Mailing address
203 W HIGH ST, ELDON, MO 65026-1428
(573) 280-4783
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004019307
MO
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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