Individual
CYNTHIA MARIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2900 STONERIDGE DR, PLEASANTON, CA 94588-8310
(925) 201-4050
Mailing address
1768 W STARDUST DR, TAYLORSVILLE, UT 84129-1264
(801) 577-4904
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA4589
CA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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