Individual
KENDRA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 CHENEY HWY, TITUSVILLE, FL 32780-6959
(321) 269-8155
Mailing address
5131 DALEHURST DR, COCOA, FL 32926-2519
(321) 261-1282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27586
FL
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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