Individual
KELLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0852
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13Y002437NH01
ANTHEM
NH
05
—
30411148
—
NH
01
—
52781
CIGNA
NH
Enumeration date
05/17/2006
Last updated
09/13/2012
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