Individual
JODI LEA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
215 DAVIS RD, OSSIAN, IN 46777-9230
(260) 622-7821
Mailing address
215 DAVIS RD, OSSIAN, IN 46777-9230
(260) 622-7821
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
32001719A
IN
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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