Individual
AMY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
3513 BLACK BUCK, SAN ANGELO, TX 76901-1675
(325) 812-1005
Mailing address
3513 BLACK BUCK TRL, SAN ANGELO, TX 76901-1675
(325) 812-1005
Taxonomy
Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
07812
TX
Other
Enumeration date
09/14/2016
Last updated
04/15/2020
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