Individual
RODISA DAYANDANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
502 N MAIN ST UNIT 3014, WEATHERFORD, TX 76086-2462
(409) 540-8685
Mailing address
502 N MAIN ST UNIT 3014, WEATHERFORD, TX 76086-2462
(409) 540-8685
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2151312
TX
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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