Stacey Lynn Roderick, PTA Valid NPI

Individual provider · Physical Therapy Assistant · Dorchester, MA

NPI

1831316082

Type

Individual (Type 1)

Primary specialty

Physical Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225200000X

License number

3716 (MA)

Sex

Female

Sole proprietor

No

Enumerated

2007-04-19

Last updated

2007-07-08