Individual
DESTINY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 HAZEL AVE, NAUGATUCK, CT 06770-4706
(203) 723-1456
Mailing address
4 ANDRASKO RD, BEACON FALLS, CT 06403-4909
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
63.001639
CT
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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