Mrs. Shannon Raye Roderique, LPTA
Mrs. Shannon Raye Roderique, LPTA is a Physical Therapy Assistant in O Fallon, Missouri. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
7068 S Outer 364O Fallon, MO 63368-7757
Phone: (636) 240-6100
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Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X |
|---|
Record details
| NPI number | 1992405302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LPTA |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2023 |
| Last updated in NPPES | March 6, 2023 |
| Certification date | March 4, 2023 |
Other providers in O Fallon
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Miss. Grace Agnus Lehouillier, PTA
1096 Tom Ginnever Ave, O Fallon, MO 63366-4519 · (636) 978-5255
-
Alexander Noon, PTA
3 Himilaya Ct, O Fallon, MO 63366-4811 · (314) 406-8636
-
Cheryl Ann Oconnell
7068 S Outer 364, O Fallon, MO 63368-7757 · (636) 240-6100
-
Sarah Patriarca
700 Garden Path, O Fallon, MO 63366-3052 · (636) 542-4302
-
Regina Struemph
7068 S Outer 364, O Fallon, MO 63368-7757 · (636) 240-6100
-
Kristin Webb, PTA
1550 Feise Rd, O Fallon, MO 63368-7346 · (636) 625-2494