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Individual

KATY ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/RD

Contact information

Practice address
5417 ALTAMESA BLVD, FORT WORTH, TX 76123-2804
(817) 361-0299
Mailing address
8145 SPRUCE VALLEY DR, FORT WORTH, TX 76137-1265
(903) 654-1892

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214642
TX

Other

Enumeration date
05/11/2021
Last updated
05/11/2021
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