Individual
BRIENNE NICOLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
300 W OTTLEY AVE, FRUITA, CO 81521-2118
(970) 858-2575
(970) 858-4569
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2186
(970) 858-2208
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0003260
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111589
—
WA
Enumeration date
06/22/2007
Last updated
10/08/2019
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