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Individual

MRS. MICHELLE K ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
110 FOREST OAKS DR, FOREST, VA 24551-1929
(434) 534-1913
(434) 534-1913
Mailing address
110 FOREST OAKS DR, FOREST, VA 24551-1929
(434) 534-1913
(434) 534-1913

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604308
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2306604308
STATE OF VIRGINIA BOARD OF PHYSICAL THERAPY
VA
Enumeration date
10/19/2010
Last updated
11/05/2015
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