Individual
CAROL ANNETTE RODDEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., PT
Contact information
Practice address
2662 E JOYCE BLVD, STE 3, FAYETTEVILLE, AR 72703-4554
(479) 521-7337
(479) 521-7337
Mailing address
4205 CHEROKEE CV, SPRINGDALE, AR 72764-7505
(479) 756-6230
(479) 521-7337
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT1149
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5S238
BLUE CROSS BLUE SHIELD
AR
Enumeration date
01/25/2007
Last updated
07/09/2007
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