Individual
VALLIE JO ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1200 N MAIN ST, SUITE 1, MOUNTAIN GROVE, MO 65711-1025
(417) 926-5699
(417) 926-5703
Mailing address
PO BOX 702, MOUNTAIN GROVE, MO 65711-0702
(417) 926-0333
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107429
MO
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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