Individual
BRENO T RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9660 S 1300 E, SANDY, UT 84094-3762
(801) 501-3449
Mailing address
9660 S 1300 E, SANDY, UT 84094-3793
(801) 501-3449
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/16/2012
Last updated
11/22/2021
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