Individual
JACLYN RITA MAE ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2600 DODGE ST STE A1, DUBUQUE, IA 52003-7159
(563) 588-5524
Mailing address
2600 DODGE ST STE A1, DUBUQUE, IA 52003-7159
(563) 588-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
108351
IA
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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