| NPI | 1700124492 |
|---|---|
| Former Name | AMBER ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IA 005097) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070-019800) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2022-09-13 |