Provider Demographics
NPI:1508337965
Name:RODENHAUSEN, FRANCES (PT)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:RODENHAUSEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:FRANCES
Other - Middle Name:
Other - Last Name:CONTOSTAVLOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:311 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1546
Mailing Address - Country:US
Mailing Address - Phone:410-353-1585
Mailing Address - Fax:
Practice Address - Street 1:2644 RIVA RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7427
Practice Address - Country:US
Practice Address - Phone:410-222-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-11
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist