Individual
MS. KELLEY RUTH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3901 CAPITAL MALL DR SW, SUITE D, OLYMPIA, WA 98502-8654
(360) 709-6221
(360) 359-4727
Mailing address
PO BOX 11291, BELFAST, ME 04915-4003
(360) 491-8439
(360) 491-6328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001535
WA
225XH1200X
Hand Occupational Therapist
OT00001535
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT00001535
WA
Other
Enumeration date
11/23/2011
Last updated
03/09/2016
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