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Miss Kanisha Shunta Rogers
Developmental Disabilities Clinic/Center in Lehigh Acres, Florida
NPI 1568080489

Kanisha Shunta Rogers is a Developmental Disabilities Clinic/Center based in Lehigh Acres, FL and is specialized in Developmental Disabilities. Kanisha Shunta Rogers practices in Lehigh Acres, FL. The NPI Number for Kanisha Shunta Rogers is 1568080489 and holds a License No. (Florida).

The current practice location address for Kanisha Shunta Rogers is 2808 72Nd St W, Lehigh Acres, FL and can be reached out via phone at 239-529-0520.

Location: 2808 72Nd St W, Lehigh Acres, FL, 33971-5824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568080489
Provider Name
Kanisha Shunta Rogers
Credential
Provider Entity Type
Individual
Gender
Female
Address
2808 72Nd St W, Lehigh Acres, FL, 33971-5824
Phone Number
239-529-0520
Fax Number
Provider Enumeration Date
07/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2808 72Nd St W
City
Lehigh Acres
State
Florida
Zip
33971-5824
Phone Number
239-529-0520
Fax Number
person
Provider Business Mailing Address Details
Address
2808 72Nd St W
City
Lehigh Acres
State
Florida
Zip
33971-5824
Phone Number
239-529-0520
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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