Individual
STEFANIE SUSANNA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4052 UNIVERSITY PKWY, NATCHITOCHES, LA 71457
(850) 259-7055
Mailing address
4052 UNIVERSITY PKWY, NATCHITOCHES, LA 71457
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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