Individual
ANDREW PAUL ROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3023 S. 89TH STREET, MILWAUKEE, WI 53227
(414) 607-4223
(414) 327-1834
Mailing address
3023 S. 89TH STREET, MILWAUKEE, WI 53227
(414) 607-4223
(414) 327-1834
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1380-019
WI
Other
Enumeration date
11/30/2012
Last updated
11/30/2012
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