Doctor Name: | MS. BECKY JEAN RODDA |
NPI Number: | 1164498119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MHS, OCS |
License Number: | 5501002266 |
Business Practice Address: | 3544 Meridian Crossings Suite 160 Okemos, MI - 488646025 |
Business Phone Number: | 5173472495 |
Business Fax Number: | 5173473540 |
Mailing Address: | 6211 Cobblers Dr, EAST LANSING |
State: | MI |
Postal Code: | 488237829 |
Phone Number: | 5173333194 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 5501002266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |