Individual
DONNELLE J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1015 N GARRISON RD, VANCOUVER, WA 98664-1313
(360) 694-7501
(360) 694-8148
Mailing address
16314 NE 125TH CT, BRUSH PRAIRIE, WA 98606-9563
(360) 597-4555
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7753
OR
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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