Individual
KAITLIN RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3712 E 83RD ST, TULSA, OK 74137-1703
(918) 704-2760
Mailing address
12000 E 31ST ST, TULSA, OK 74146-2001
(918) 357-8467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
11/30/2020
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