Provider Demographics
NPI:1386899391
Name:RHOADES, LOUISE MARIE (PTA)
Entity type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:MARIE
Last Name:RHOADES
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1800 ATRIUM PKWY
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559
Mailing Address - Country:US
Mailing Address - Phone:971-206-5200
Mailing Address - Fax:971-206-5211
Practice Address - Street 1:4560 SE INTERNATIONAL WAY, STE. 100
Practice Address - Street 2:CONSONUS HEALTHCARE SERVICES ATTN: ANNA BROWNE
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222
Practice Address - Country:US
Practice Address - Phone:971-206-5102
Practice Address - Fax:971-206-5211
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2008-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5325225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant