Individual
MS. ADRIENNE RAINS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
4629 S HARVARD AVE STE A, TULSA, OK 74135-2946
(918) 710-2370
(918) 398-7983
Mailing address
2510 S QUEBEC AVE, TULSA, OK 74114-4828
(918) 210-4967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
258
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200290570A
—
OK
Enumeration date
06/15/2018
Last updated
06/15/2018
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