Individual
JORDAN PAUL RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
160 RIVER BEND DR STE 104, GRANITE FALLS, NC 28630-9389
(828) 572-7350
Mailing address
1311 MAMARONECK AVE STE 140, WHITE PLAINS, NY 10605-5224
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11202
SC
225100000X
Physical Therapist
Primary
P20089
NC
Other
Enumeration date
02/22/2021
Last updated
06/26/2024
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