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Contact Information

SANDRA M REDDEROTH, MS, RCEP
800 LIVE OAK CT
ROSWELL, GA30075-2571
 Phone: 770-713-2631
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Exercise Physiologist

224Y00000X
Indicates primary specialty

NPI Profile & details for SANDRA M REDDEROTH · (Female)

NPI # 1417200577
Status Active
Credentials MS, RCEP
Entity Individual
Enumeration date 10/25/2012
Last updated 10/25/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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