Provider Demographics
NPI:1699594929
Name:ROGOWSKI, MICHELLE (OTR)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:ROGOWSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 HILL AVE
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-6408
Mailing Address - Country:US
Mailing Address - Phone:845-742-2004
Mailing Address - Fax:
Practice Address - Street 1:894 HILL AVE
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-6408
Practice Address - Country:US
Practice Address - Phone:845-742-2004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist