Individual
CARLY ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11455 NW FORD FARM TRL, BRISTOL, FL 32321-3753
(850) 591-4737
Mailing address
13608 NW PARLEY S SHULER RD, BRISTOL, FL 32321
(850) 653-5820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22459
FL
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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