Individual provider · Type 1 NPI

Ethan Rogers, OTR/L

Occupational Therapist · Wyoming, MI

NPI number 1609412675 Active

Practice location

3555 Copper River Ave SW
Wyoming, MI 49418-9791

Mailing address

2555 Fox Run Rd SW Apt 10
Wyoming, MI 49519-5210

Other practice locations

  • 2555 Fox Run Rd SW Apt 10, Wyoming, MI 49519-5210 · (313) 720-8222

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Occupational Therapist Primary 225X00000XNone listed

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1609412675

Ethan Rogers, OTR/L's National Provider Identifier is 1609412675, issued on Nov 25, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Wyoming, MI. The record was last updated on May 3, 2021.