Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Eugene Roderick, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1508034265

Glen Eugene Roderick, COTA/L is an Occupational Therapy Assistant in Spanaway, Washington. Licensed in Washington. Registered with an NPI since 2008.

Licensed in
WA
In the registry since
2008
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

8606 196th St Ct E
Spanaway, WA 98387
Phone: (360) 888-3439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OC00001065 (WA)

Record details

NPI number1508034265
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedFebruary 15, 2008
Last updated in NPPESFebruary 15, 2008
Mailing address8606 196th St Ct E, Spanaway, WA 98387

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