Individual
HEATHER MEYER ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-1330
(715) 284-1398
Mailing address
711 W ADAMS ST, BLACK RIVER FALLS, WI 54615-9108
(715) 284-1330
(715) 284-1398
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3608026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3608-026
WISCSONSIN LICENSE
WI
05
—
40848600
—
WI
Enumeration date
01/03/2007
Last updated
07/09/2007
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