Provider Demographics
NPI:1821302407
Name:ROGGE, AMY ANTONIA (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ANTONIA
Last Name:ROGGE
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 W QUINCY AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-1202
Mailing Address - Country:US
Mailing Address - Phone:303-495-6987
Mailing Address - Fax:303-495-6987
Practice Address - Street 1:7400 W QUINCY AVE
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-1202
Practice Address - Country:US
Practice Address - Phone:303-495-6987
Practice Address - Fax:303-495-6987
Is Sole Proprietor?:No
Enumeration Date:2010-08-05
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6266225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics