Individual
JOSE VII DY COK RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
917 ROCKWELL LN, DYER, IN 46311-8003
(219) 218-7282
Mailing address
917 ROCKWELL LN, DYER, IN 46311-8003
(219) 218-7282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05010302A
IN
225100000X
Physical Therapist
070015154
IL
Other
Enumeration date
03/29/2016
Last updated
09/16/2021
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