Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics | 13402 |
NPI | 1023453198 |
---|---|
Provider Name | Karen Y Rogers |
First Address | Thousand Oaks, CA 91362-5350 |
Second Address | Woodland Hills, CA 91367-2514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 02/05/2013 |