Individual
CAROL ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
558 SE 9TH ST STE 5, BEND, OR 97702-2265
(541) 410-3428
(541) 640-5541
Mailing address
558 SE 9TH ST STE 5, BEND, OR 97702-2265
(541) 410-3428
(541) 640-5541
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
291240
CA
225100000X
Physical Therapist
Primary
63766
OR
Other
Enumeration date
02/29/2016
Last updated
01/18/2025
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