Individual
MRS. CRYSTAL BATES ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
243 GREENO RD S, FAIRHOPE, AL 36532-1902
(251) 928-3909
(251) 928-3984
Mailing address
243 GREENO RD S, FAIRHOPE, AL 36532-1902
(251) 928-3909
(251) 928-3984
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
2114
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
631187140
TAX ID
AL
Enumeration date
10/09/2007
Last updated
07/21/2022
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