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Individual

MRS. LAURA LEE RODEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 967-2482
Mailing address
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-3869

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
00004233
WA
225X00000X
Occupational Therapist
Primary
OT00004233
WA
225XN1300X
Neurorehabilitation Occupational Therapist
OT00004233
WA

Other

Enumeration date
11/23/2011
Last updated
12/13/2023
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