Individual
MADISON ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2110 BEN CRAIG DR STE 300, CHARLOTTE, NC 28262-2302
(704) 595-9363
Mailing address
905 KENILWORTH AVE APT 174, CHARLOTTE, NC 28204-0068
(706) 308-4581
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16569
NC
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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