Individual
MRS. MARISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 E 15TH ST, FRIONA, TX 79035-1207
(806) 759-5177
Mailing address
402 LONG ST, HEREFORD, TX 79045-3228
(806) 759-5177
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2060208
TX
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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