Individual
ROMMEL PATRICK BROWN CADORNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3999 VENOY RD, WAYNE, MI 48184-1485
(734) 727-0440
Mailing address
49872 ALDEN, CANTON, MI 48188-2869
(734) 219-8740
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
5501015130
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501015130
LARA , STATE OF MICHIGAN
—
Enumeration date
05/14/2019
Last updated
05/14/2019
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