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Individual

REGINA MARIE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
201 UNIVERSITY BLVD, #206, DENVER, CO 80206-4657
(303) 839-1993
Mailing address
201 UNIVERSITY BLVD, #206, DENVER, CO 80206-4657
(303) 839-1993

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
174H00000X
Health Educator
225400000X
Rehabilitation Practitioner
225700000X
Massage Therapist
Primary
8753
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8753
DORA
CO
Enumeration date
08/02/2010
Last updated
08/02/2010
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