Individual
JILL ELLEN ROGACKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
138 E ELM ST, WAUSEON, OH 43567-1457
(419) 335-1919
(419) 335-1921
Mailing address
307 MAJESTIC DR, TOLEDO, OH 43608-1164
(734) 347-6853
(419) 335-1921
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2200
OH
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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