Provider Demographics
NPI:1215342258
Name:ROGERS, SARAH
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19135 US HIGHWAY 19 N
Mailing Address - Street 2:APT J15
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3201
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19135 US HIGHWAY 19 N
Practice Address - Street 2:J 15
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3201
Practice Address - Country:US
Practice Address - Phone:941-224-7706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-28
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist