Individual
JESSICA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 SOUTH HARTH AVE., MADISON, SD 57042
(800) 278-0332
Mailing address
416 S HARTH AVE, MADISON, SD 57042-2918
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2079261
TX
225200000X
Physical Therapy Assistant
Primary
A1309
MN
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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