Individual
AMY LOU RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 MARSHALL MILL RD, FRANKLINVILLE, NJ 08322-2041
(856) 848-5500
Mailing address
1641 MARSHALL MILL RD, FRANKLINVILLE, NJ 08322-2041
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT00303400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
MASSAGE THERAPIST
—
01
—
115854
AMTA
—
01
—
303588-00
BCTMB
—
Enumeration date
12/15/2017
Last updated
06/16/2018
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