Individual
RODRICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
Mailing address
700 NUCKOLLS RD, BOLIVAR, TN 38008-1531
(731) 658-4707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3931
TN
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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