Individual
DR. ASHLEE NICOLE RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS, CMPT
Contact information
Practice address
732 MAIN ST, PHILOMATH, OR 97370-9725
(541) 929-2255
Mailing address
732 MAIN ST, PHILOMATH, OR 97370-9725
(541) 929-2255
(541) 929-7055
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
61070
OR
Other
Enumeration date
05/22/2015
Last updated
02/12/2024
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