Individual
BREANNA RODEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
119 CANAL ST STE 104, POOLER, GA 31322-4094
(912) 330-8444
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP007937T
GA
Other
Enumeration date
09/07/2021
Last updated
05/17/2022
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