Individual
ELICIA MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Mailing address
16250 NE 74TH ST, REDMOND, WA 98052-7817
(425) 936-1200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004104
WA
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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