Individual
ANTHONY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT ATC
Contact information
Practice address
3301 SOLLY AVE, PHILADELPHIA, PA 19136-2340
(215) 338-9494
Mailing address
3301 SOLLY AVE, PHILADELPHIA, PA 19136-2340
(215) 338-9494
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004624
PA
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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