Individual provider · NPI-1

Roderick Alexander

Rehabilitation Practitioner · Riverside, CA

NPI number1265846232
StatusActive
Last updated in NPPESAug 21, 2025

Details

NPI
1265846232
Entity type
Individual (NPI-1)
Name
Roderick Alexander
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 17, 2014
Certification date
Aug 21, 2025
Last updated
Aug 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner––Yes
171M00000X Case Manager/Care Coordinator––

Practice location

555 Technology Ct
Riverside, CA 92507-2155

Phone 951-686-8500

Mailing address

555 Technology Ct
Riverside, CA 92507-2155

Phone 951-686-8500

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