Individual
CHERYL RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3404 ASBURY AVE, NEPTUNE, NJ 07753-2503
(732) 984-8062
Mailing address
3404 ASBURY AVE, NEPTUNE, NJ 07753-2503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224Z00000X
ATTORNEY GENERAL
—
Enumeration date
05/13/2021
Last updated
05/13/2021
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