Individual
NICHOLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7116 FORT HUNT RD, ALEXANDRIA, VA 22307-1900
(434) 989-1260
Mailing address
6200 WILSON BLVD APT 712, FALLS CHURCH, VA 22044-3207
(434) 989-1260
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2306604810
VA
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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