Individual
ELIZABETH REAGH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16515 MERIDIAN E, STE 202B, PUYALLUP, WA 98375-6251
(253) 840-5511
(253) 840-0835
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60284844
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298322
DEPT. OF LABOR AND INDUSTRIES
WA
05
—
1245587518
—
WA
Enumeration date
08/06/2012
Last updated
07/15/2015
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