Individual
MS. MARY ANGELICA DAMIAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1920 OLD SPRINGVILLE RD, SUITE104, BIRMINGHAM, AL 35215-5858
(205) 520-9600
(205) 528-0455
Mailing address
1920 OLD SPRINGVILLE RD, SUITE104, BIRMINGHAM, AL 35215-5858
(205) 520-9600
(205) 528-0455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
008679
CT
225100000X
Physical Therapist
0307841
NY
225100000X
Physical Therapist
Primary
070017321
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0307841
PHYSICAL THERAPY NEW YORK LICENSE NUMBER
NY
Enumeration date
11/24/2009
Last updated
12/23/2009
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