Individual
MISS CARLY HOPE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4062 SUMMERHILL SQ, TEXARKANA, TX 75503-2730
(903) 530-5151
Mailing address
6909 SUGARLAND DR, TEXARKANA, AR 71854-8176
(903) 530-5151
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215031
TX
Other
Enumeration date
02/24/2018
Last updated
02/24/2018
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