Individual
COREY ALLEN RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, MOT, OTR/L
Contact information
Practice address
315 S FOREST ST, DENVER, CO 80246-8107
(765) 585-5542
Mailing address
315 S FOREST ST, DENVER, CO 80246-8107
(765) 585-5542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
N/A
—
225X00000X
Occupational Therapist
Primary
OT.0004808
CO
Other
Enumeration date
06/02/2010
Last updated
03/17/2018
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