Provider Demographics
NPI:1356809602
Name:RODDY, CATHERINE MARY (OTR/L)
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:MARY
Last Name:RODDY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MARY
Other - Last Name:VERGA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3058 DAUPHIN SQ CONN
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607-2500
Mailing Address - Country:US
Mailing Address - Phone:251-479-4900
Mailing Address - Fax:
Practice Address - Street 1:3058 DAUPHIN SQ CONN
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-2500
Practice Address - Country:US
Practice Address - Phone:251-479-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-06
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4928225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics