Individual
MR. MICHAEL M. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 303, SOUTHBURY, CT 06488-2288
(203) 264-1735
(203) 264-9251
Mailing address
157 SHELTER ROCK RD UNIT 8, DANBURY, CT 06810-7067
(203) 797-0073
(203) 264-9251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000353
CT
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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