Individual
MAURICIO A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8582 ELIOT AVE APT 1B, REGO PARK, NY 11374-1079
(646) 643-5624
Mailing address
8582 ELIOT AVE APT 1B, REGO PARK, NY 11374-1079
(646) 643-5624
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005788-01
NY
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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