Individual
SHANNON S ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
250 LOVERS LN, WASHINGTON, NC 27889-3436
(252) 975-1636
Mailing address
3256 BAILEY RD, WILLIAMSTON, NC 27892-8858
(125) 279-9761
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2581
NC
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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