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Individual

MRS. KATIE CHRISTINE RODRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, CSCS

Contact information

Practice address
5001 ROCKSIDE RD, INDEPENDENCE, OH 44131-2172
(216) 986-4272
(216) 986-4910
Mailing address
4041 CHESTNUT RD, SEVEN HILLS, OH 44131-3747
(216) 525-0098
(216) 986-4910

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT. 002237
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
REHABILITATION
OH
Enumeration date
04/02/2007
Last updated
07/08/2007
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