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Individual

MR. RODERICK LYLE CLAYTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHYSICAL THERAPIST

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1497
(757) 953-0809
Mailing address
6800 OVERLOOK CT, SUFFOLK, VA 23435-2936
(757) 686-9196

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
PT001242
GA

Other

Enumeration date
01/26/2006
Last updated
07/08/2007
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