Individual
MRS. PENNY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
305 ELLIS ST, CARTHAGE, MS 39051-3808
(601) 267-3247
(601) 267-0209
Mailing address
1694 HIGHWAY 35 S, CARTHAGE, MS 39051-6058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0489
MS
Other
Enumeration date
11/14/2006
Last updated
07/08/2007
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