Individual
KATIE ALLISON ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-6341
(402) 955-7396
Mailing address
114406 S 4710 RD, MULDROW, OK 74948-6874
(479) 629-2463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1929
STATE LICENSE
NE
01
—
302359
NATIONALS
—
01
—
OTR2581
STATE LICENSE
AR
Enumeration date
12/30/2012
Last updated
11/04/2016
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