Individual
CARRIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-2761
Mailing address
35 MEHEU CIR, KAHULUI, HI 96732-3615
(914) 393-1414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1419
HI
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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