Individual
AMBAR MIRELYS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1704 N 18TH ST APT 2, PHILADELPHIA, PA 19121-3284
(787) 246-2213
Mailing address
1704 N 18TH ST APT 2, PHILADELPHIA, PA 19121-3284
(787) 246-2213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT9783
TX
Other
Enumeration date
03/08/2024
Last updated
07/18/2024
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