Individual
AVERY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
735 GOODARD DR, VIRGINIA BEACH, VA 23454-6868
(410) 698-3884
Mailing address
735 GOODARD DR, VIRGINIA BEACH, VA 23454-6868
(410) 698-3884
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/19/2020
Last updated
05/17/2022
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