Individual
JENNIFER SUMAMPONG ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1704 ROSENBOROUGH CV, ROUND ROCK, TX 78665-7861
(512) 610-1727
Mailing address
401 OAKWOOD BLVD, ROUND ROCK, TX 78681-4067
(512) 610-1727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212065
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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