Individual
IDALMIS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 LAWN WAY, MIAMI SPRINGS, FL 33166-5142
(786) 216-8326
Mailing address
211 LAWN WAY, MIAMI SPRINGS, FL 33166-5142
(786) 216-8326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27570
FL
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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