Individual
JESSICA A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 1700A, BOGART, GA 30622-2566
(706) 369-9099
Mailing address
1551 JENNINGS MILL RD UNIT 1700A, BOGART, GA 30622-2566
(706) 369-9099
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002387
GA
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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