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Joseph Ronald Roddenberry, PTA

Physical Therapy Assistant in Arden, NC. Individual provider (NPI-1).

NPI number1346534708
StatusActive
Last updated in NPPESJun 2, 2011

Details

NPI
1346534708
Entity type
Individual (NPI-1)
Name
Joseph Ronald Roddenberry
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2011
Last updated
Jun 2, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant4555NCYes

Practice location

123 Sunny Meadows Blvd
Arden, NC 28704-8824

Phone 828-989-8779

Mailing address

123 Sunny Meadows Blvd
Arden, NC 28704-8824

Phone 828-989-8779

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