Individual
DANIELE G ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 CASTLE MANOR DR, LINCOLN, IL 62656-6006
(217) 735-1507
Mailing address
124 NORTH ST, ARMINGTON, IL 61721-9204
(309) 706-6622
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002523
IL
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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