Individual
MS. MALLORY JANE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, OTR/L
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004828
AZ
225100000X
Physical Therapist
12863
AZ
225X00000X
Occupational Therapist
4828
AZ
Other
Enumeration date
02/29/2012
Last updated
09/09/2022
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