Individual
MR. RODNEY AQUINO JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
10215 N 595 E, DEMOTTE, IN 46310-8968
(630) 209-1899
Mailing address
10215 N 595 E, DEMOTTE, IN 46310-8968
(630) 209-1899
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008171A
IN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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