Individual
RYAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1902 59TH ST W, BRADENTON, FL 34209-4602
(813) 361-4688
Mailing address
1512 E 12TH AVE UNIT 424, TAMPA, FL 33605-3581
(505) 489-9605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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