Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 16825 | MD |
NPI | 1154651842 |
---|---|
Provider Name | Jennifer Rogofsky |
First Address | Columbia, MD 21044-3861 |
Second Address | Columbia, MD 21044-3861 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2010 |
Last Update Date | 03/01/2010 |