Individual
CHRISTINE D ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8801
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8801
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
009550-1
NY
Other
Enumeration date
10/24/2008
Last updated
02/18/2014
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