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NPI Code Detail

MEDICARE: PATRICIA RODE PT, DPT

MEDICARE: PATRICIA RODE PT, DPT
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 Therapist4028NC

General Provider Information

NPI Number : 1811977036
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA RODE PT, DPT
Provider Business Mailing Address
First Line : 1721 ALLENS LANE
Second Line : SUITE 101
City : WILMINGTON
State : NC
Zip : 28403-3662
Country : US
Telephone Number : 910-256-4442
Fax Number : 910-256-4443
Provider Business Practice Location Address
First Line : 1721 ALLENS LANE
Second Line : SUITE 101
City : WILMINGTON
State : NC
Zip : 28403-3662
Country : US
Telephone Number : 910-256-4442
Fax Number : 910-256-4443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 09/18/2014

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Directions to “ PATRICIA RODE PT, DPT” Practice Location

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