Individual
SKYLAR MADIE ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8133 ARDREY KELL RD STE 104, CHARLOTTE, NC 28277-5723
(704) 413-0968
Mailing address
905 KENILWORTH AVE APT 249, CHARLOTTE, NC 28204-2958
(678) 986-1394
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16570
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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