Provider Demographics
NPI:1962658849
Name:ROGOWSKI, ALISON L
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:L
Last Name:ROGOWSKI
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 1:112 LAUREL ST.
Mailing Address - Street 2:
Mailing Address - City:LAPORTE
Mailing Address - State:IN
Mailing Address - Zip Code:46350-2658
Mailing Address - Country:US
Mailing Address - Phone:219-575-0506
Mailing Address - Fax:
Practice Address - Street 1:9935 RED ARROW HWY
Practice Address - Street 2:
Practice Address - City:BRIDGMAN
Practice Address - State:MI
Practice Address - Zip Code:49106-9002
Practice Address - Country:US
Practice Address - Phone:269-465-3017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant