Individual
MRS. KIMBERLY ANNE RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2102 S 96TH ST, TACOMA, WA 98444-1753
(253) 581-2514
(253) 581-9343
Mailing address
2102 S 96TH ST, TACOMA, WA 98444-1753
(253) 581-2514
(253) 581-9343
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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