Individual
ELLEN RUTH ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
204 GROVE AVE, CEDAR GROVE, NJ 07009-1436
(973) 571-2811
Mailing address
33 CAMBRIDGE RD, BLOOMFIELD, NJ 07003-2836
(973) 743-6573
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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