Katie Elizabeth Roderfeld

NPI #1013494152 in Alton, Illinois

Provider Information

NPI Number: 1013494152
Entity Type: Individual
Name: Katie Elizabeth Roderfeld
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Jul 22, 2018
Last Updated: Jul 22, 2018

Practice Location

Address: 3800 TROPICAL BREEZE KY
City: Alton
State: Illinois
ZIP Code: 62002-7979
Phone: (618) 791-2213

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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