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NPI Code Detail

MEDICARE: ALISON L ROGOWSKI

MEDICARE: ALISON L ROGOWSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1962658849
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON L ROGOWSKI
Provider Business Mailing Address
First Line : 112 LAUREL ST.
Second Line :
City : LAPORTE
State : IN
Zip : 46350-2658
Country : US
Telephone Number : 219-575-0506
Fax Number :
Provider Business Practice Location Address
First Line : 9935 RED ARROW HWY
Second Line :
City : BRIDGMAN
State : MI
Zip : 49106-9002
Country : US
Telephone Number : 269-465-3017
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2008
Last Update Date : 08/12/2008

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