Roderic J Tate
Roderic J Tate is a Rehabilitation Practitioner in Azusa, California. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
950 W Sierra Madre AveAzusa, CA 91702-1800
Phone: (626) 221-2267
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1396871901 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 26, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 950 W Sierra Madre Ave, Azusa, CA 91702-1800 |
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