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Individual
KENNETH J. RODEMAN
Active
Individual
KENNETH J. RODEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1793
OR
225100000X
Physical Therapist
PT-302
WY
Other
Enumeration date
06/20/2007
Last updated
06/17/2016
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