Individual
EDMUND ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Contact information
Practice address
1657 SUNSET AVE, UTICA, NY 13502-5415
(315) 797-7392
Mailing address
22 W GANSEVOORT ST, LITTLE FALLS, NY 13365-1313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012693-1
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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