Individual
MRS. SHELLEY K ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
7201 GREEN BAY RD, KENOSHA, WI 53142-3522
(262) 694-3977
(262) 694-5648
Mailing address
16622 PLANK RD, UNION GROVE, WI 53182-9697
(262) 878-5179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
710-019
WI
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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