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1841382751

NPI Code Detail

MEDICARE: MARJORIE L ROGERS OTR/L

MEDICARE: MARJORIE L ROGERS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	OT00002468	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	115388	OTHER	WA	DEPT OF LABOR & INDUSTRIE
2	1813969	OTHER		UNITED HEALTHCARE
3	14390169	OTHER		LUMENOS
4	RO8108	OTHER		REGENCE
5	4405630001	OTHER		DMERC REGION D

General Provider Information

NPI Number	:	1841382751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARJORIE L ROGERS OTR/L

Provider Business Mailing Address
First Line	:	706 GEORGE WASHINGTON WAY
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4211
Country	:	US
Telephone Number	:	509-946-9200
Fax Number	:	509-943-0649

Provider Business Practice Location Address
First Line	:	706 GEORGE WASHINGTON WAY
Second Line	:
City	:	RICHLAND
State	:	WA
Zip	:	99352-4211
Country	:	US
Telephone Number	:	509-946-9200
Fax Number	:	509-943-0649

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

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Directions to “ MARJORIE L ROGERS OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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