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Individual
JEFFREY A RODRIGUES
Active
Individual
JEFFREY A RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11028-24
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1235395716
—
WI
Enumeration date
08/04/2008
Last updated
02/12/2009
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