Individual
CARRIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
180 REGAN RD, VERNON, CT 06066
(860) 871-0385
Mailing address
180 REGAN RD, VERNON, CT 06066-2824
(860) 871-0385
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002552
CT
225X00000X
Occupational Therapist
7831
MA
Other
Enumeration date
06/28/2006
Last updated
08/09/2018
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