Individual
TAMMY ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
(352) 270-9968
Mailing address
2333 N BRENTWOOD CIR, LECANTO, FL 34461-8536
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12944
FL
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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