Individual
MR. RUDOLFO MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1721 1/2 12TH ST UNIT 3, GREELEY, CO 80631-3616
(970) 590-3948
Mailing address
1721 1/2 12TH ST, GREELEY, CO 80631-3616
(970) 590-3948
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012463
CO
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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