Individual provider · Type 1 NPI

Kanisha Shunta Rogers

Developmental Disabilities Clinic/Center · Lehigh Acres, FL

NPI number 1568080489 Active

Practice location

2808 72nd St W
Lehigh Acres, FL 33971-5824

Specialties and licenses

TaxonomyCodeLicense
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: 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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About NPI 1568080489

Kanisha Shunta Rogers's National Provider Identifier is 1568080489, issued on Jul 7, 2020. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Lehigh Acres, FL. The record was last updated on Apr 7, 2025.