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Individual

MRS. AMANDA ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T., D.P.T., IBCLC

Contact information

Practice address
525 ROYAL PKWY UNIT 290609, NASHVILLE, TN 37229-4019
(866) 525-3175
Mailing address
621 RHINE LN, COSTA MESA, CA 92626-3139
(714) 841-6162
(714) 841-9912

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
L-320410
CA
225100000X
Physical Therapist
Primary
PT36925
CA

Other

Enumeration date
12/21/2012
Last updated
03/28/2026
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