Individual
MRS. STEPHANIE GWEN MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS, PCS
Contact information
Practice address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-4853
(360) 313-4871
Mailing address
2901 FALK RD, VANCOUVER, WA 98661-6392
(360) 313-4853
(360) 313-4871
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
3038
OR
2251P0200X
Pediatric Physical Therapist
Primary
6909
WA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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