Individual
MR. JOHN JOSPEH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
3640 CORLS RIDGE RD, FAYETTEVILLE, PA 17222-9615
(717) 749-5460
Mailing address
PO BOX 78, SOUTH MOUNTAIN, PA 17261-0078
(717) 749-5460
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1383
MD
225200000X
Physical Therapy Assistant
TE1000405
PA
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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