Provider Demographics
NPI:1831667294
Name:RODMAN, HOPE ELLEN (PT)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:ELLEN
Last Name:RODMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MORRISTON CIR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1989
Mailing Address - Country:US
Mailing Address - Phone:443-523-5796
Mailing Address - Fax:
Practice Address - Street 1:101 LONG AVE
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-5045
Practice Address - Country:US
Practice Address - Phone:410-677-5250
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-05
Last Update Date:2018-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15775225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist