Individual
SUSAN RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-3381
Mailing address
540 PARK AVE, MIAMISBURG, OH 45342-2854
(937) 866-3381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT1368
OH
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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