Individual
MR. WAYNE RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-P
Contact information
Practice address
263 ALDEN STREET, SPRINGFIELD COLLEGE, SPRINGFIELD, MA 01109
(413) 748-3188
(413) 748-3817
Mailing address
263 ALDEN STREET, SPRINGFIELD COLLEGE, SPRINGFIELD, MA 01109-3707
(413) 748-3188
(413) 748-3817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
172
MA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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