Individual
ANDRIANNA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2885 HARRIS ST, EUREKA, CA 95503-4808
(170) 744-3162
Mailing address
225 GARRISON BLVD, FAIRHOPE, AL 36532-4124
(260) 417-7917
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11003
PTA LICENSE
CA
Enumeration date
01/11/2019
Last updated
01/11/2019
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