Individual
MRS. JESSICA ANGE ROGERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 WESTERN BLVD, TARBORO, NC 27886-4017
(252) 823-0401
Mailing address
1469 HENRY MIZELLE RD, WILLIAMSTON, NC 27892-7812
(252) 217-6470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4028
NC
Other
Enumeration date
07/16/2015
Last updated
07/16/2015
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