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NPI Code Detail

MEDICARE: COLLETTE JANELLE RHODEN-MARTINEZ D.P.T

MEDICARE: COLLETTE JANELLE RHODEN-MARTINEZ D.P.T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist038296NY
2225100000XPhysical Therapist1284869TX
3225100000XPhysical TherapistP23325NC

General Provider Information

NPI Number : 1376935486
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLETTE JANELLE RHODEN-MARTINEZ D.P.T
Provider Business Mailing Address
First Line : PO BOX 603949
Second Line :
City : CHARLOTTE
State : NC
Zip : 28260-3949
Country : US
Telephone Number : 877-498-4490
Fax Number :
Provider Business Practice Location Address
First Line : 7901 T W ALEXANDER DR
Second Line :
City : RALEIGH
State : NC
Zip : 27617-7211
Country : US
Telephone Number : 919-350-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 08/26/2024

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