Provider Demographics
NPI:1952860637
Name:ROGERS, ALICE (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:ROGERS
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:
Other - Last Name:SWITZKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:VANCOUVER PUBLIC SCHOOLS
Mailing Address - Street 2:2901 FALK RD.
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661
Mailing Address - Country:US
Mailing Address - Phone:360-313-1000
Mailing Address - Fax:
Practice Address - Street 1:VANCOUVER PUBLIC SCHOOLS
Practice Address - Street 2:2901 FALK RD.
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661
Practice Address - Country:US
Practice Address - Phone:360-313-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60920491225X00000X
OR411076225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist