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Individual

KRYSTLE RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8008 S JESSE OWENS PKWY, PHOENIX, AZ 85042-6516
(602) 243-2780
Mailing address
4406 E WINDSONG DR, PHOENIX, AZ 85048-0123
(480) 512-1314

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10532A
AZ

Other

Enumeration date
10/17/2019
Last updated
10/17/2019
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