Individual
JUAN CARLOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
400 UNIVERSITY PARK DR, BIRMINGHAM, AL 35209-6784
(205) 870-0786
Mailing address
3500 CLAIRMONT AVE S APT 223, BIRMINGHAM, AL 35222-3529
(305) 310-4859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10629
AL
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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