Individual
WANZA DEEN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1625 W SPRING ST, PALESTINE, TX 75803-7943
(903) 480-3384
Mailing address
511 BROOKHOLLOW DR, PALESTINE, TX 75801-2105
(409) 370-1079
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211469
TX
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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