Individual
MARY J ROGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
5501 WILLOW CREEK DR, SUITE 200, SPRINGDALE, AR 72762-8704
(479) 442-4553
(479) 251-1006
Mailing address
5501 WILLOW CREEK DR, SUITE 200, SPRINGDALE, AR 72762-8704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 1632
AR
Other
Enumeration date
08/10/2007
Last updated
03/31/2008
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