Serena Detienne Roda PT

NPI 1770511354 - Physical Therapist - 225100000X

NPI Details
NPI 1770511354
Gender Female
Enumeration Date 06/30/2006
Last Updated 07/29/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1345 PARK ST
PASO ROBLES CA, 93446-2236, US
Phone (805) 226-0975
Fax (805) 226-0909
Business Location
1106 WALNUT ST # 110
SAN LUIS OBISPO CA, 93401-2416, US
Phone (805) 788-0805
Fax (805) 788-0845
Toxanomy
Taxonomy Code 225100000X
License State California
License Number PT26281
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According to our database, Serena Detienne Roda PT NPI is 1770511354, taxonomy code is 225100000X and license number is PT26281, license state is located at California. Serena Detienne Roda PT physically located at 1345 Park St, Paso Robles CA, 93446-2236. NPI Number Serena Detienne Roda PT has the Individual type.

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1770511354 NPI number is provided on an as is basis without warranty of any kind. 1770511354 is maintained by the National Plan & Provider Enumeration System. The contents of Serena Detienne Roda PT are for informational purposes only.