Individual
MS. PATRICE ELAINE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
125 ALMA BLVD, MERRITT ISLAND, FL 32953-4345
(321) 453-0202
Mailing address
1600 WOODLAND DR # 106, ROCKLEDGE, FL 32955-2504
(207) 659-1534
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10621
FL
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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