GLEN EUGENE RODERICK

SPANAWAY, WA
NPI1508034265
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC00001065)
Enumeration Date2008-02-15
Last Update Date2008-02-15
Business Address
-- GLEN EUGENE RODERICK COTA/L
8606 196TH ST CT E
SPANAWAY, WA 98387
Phone number: 360-888-3439
Mailing Address
-- GLEN EUGENE RODERICK COTA/L
8606 196TH ST CT E
SPANAWAY, WA 98387
Phone number:
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