Individual
JAMIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
347 HWY 62 EAST, COLLEGE PLAZA, MOUNTAIN HOME, AR 72653
(870) 701-5089
Mailing address
PO BOX 2398, MOUNTAIN HOME, AR 72654-2398
(870) 701-5089
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4808
AR
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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