Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 10063 | MA |
NPI | 1003181090 |
---|---|
Provider Name | Francesca Rogers |
First Address | Cambridge, MA 02138-4232 |
Second Address | Somerville, MA 02143-3421 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2012 |
Last Update Date | 09/03/2012 |