Individual
JAMES CHAD ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA/ LIMITED PERMIT
Contact information
Practice address
413 E SLOAN ST, MOUNT VERNON, MO 65712-1853
(417) 366-9352
Mailing address
413 E SLOAN ST, MOUNT VERNON, MO 65712-1853
(417) 366-9352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013019360
MO
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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