Trent Roederer PT

NPI 1033435623 - Physical Therapist - 225100000X

NPI Details
NPI 1033435623
Gender Male
Enumeration Date 04/08/2010
Last Updated 04/08/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
155 E MAIN ST
SUITE 148
MCCONNELSVILLE OH, 43756-1296, US
Phone (740) 962-4441
Fax (740) 962-4488
Business Location
1500 GRAND CENTRAL AVE
SUITE 1
VIENNA WV, 26105-1079, US
Phone (304) 295-3060
Fax (304) 295-3068
Toxanomy
Taxonomy Code 225100000X
License State Ohio
License Number 012758
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According to our database, Mr. Trent Roederer PT NPI is 1033435623, taxonomy code is 225100000X and license number is 012758, license state is located at Ohio. Trent Roederer PT physically located at 155 E Main St, Mcconnelsville OH, 43756-1296. NPI Number Trent Roederer PT has the Individual type.

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1033435623 NPI number is provided on an as is basis without warranty of any kind. 1033435623 is maintained by the National Plan & Provider Enumeration System. The contents of Trent Roederer PT are for informational purposes only.