Individual
NANCY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 PAMALEE DR, FAYETTEVILLE, NC 28301-2824
(910) 488-2295
Mailing address
1611 TYSOR DR, FAYETTEVILLE, NC 28304-3951
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5750
NC
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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