| NPI | 1497223663 |
|---|---|
| Former Name | KEBRA RENEE ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0006515) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 107019) |
| 225XH1200X Occupational Therapist Hand (Licence: OR 409614) | |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-05-07 |