Individual
TAYLOR LOUISE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1480 N 400 E, LOGAN, UT 84341-7525
(916) 295-8022
Mailing address
3084 SOUTHCREEK DR, LINCOLN, CA 95648-8286
(916) 295-8022
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14040764-4003
UT
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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