Glen Eugene Roderick, COTA/L
NPI #1508034265 in Spanaway, Washington
Provider Information
- NPI Number
- 1508034265
- Entity Type
- Individual
- Name
- Glen Eugene Roderick, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Feb 15, 2008
- Last Updated
- Feb 15, 2008
Practice Location
- Address
- 8606 196TH ST CT E
- City
- Spanaway
- State
- Washington
- ZIP Code
- 98387
- Phone
- (360) 888-3439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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