Individual
AMY RODGERS-DRYFOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
730 SW 4TH ST STE 6, CAPE CORAL, FL 33991-1984
(239) 910-0712
Mailing address
730 SW 4TH ST STE 6, CAPE CORAL, FL 33991-1984
(239) 910-0712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101031682
HUSKY CARE
CT
Enumeration date
02/10/2019
Last updated
05/18/2022
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