Provider Demographics
NPI:1477898005
Name:ROGERS, OAKLEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:OAKLEE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18440 N 68TH ST
Mailing Address - Street 2:APT. 2029
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-9127
Mailing Address - Country:US
Mailing Address - Phone:208-860-9659
Mailing Address - Fax:
Practice Address - Street 1:18440 N 68TH ST
Practice Address - Street 2:APT. 2029
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-9127
Practice Address - Country:US
Practice Address - Phone:208-860-9659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-08
Last Update Date:2012-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist