Individual
ROBERTA SUE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28550 FIVE MILE RD, LIVONIA, MI 48154-3866
(734) 427-8270
Mailing address
28550 FIVE MILE RD, LIVONIA, MI 48154-3866
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201002264
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245272897
—
MI
Enumeration date
11/14/2018
Last updated
11/14/2018
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