Individual
AMANDA ROSE RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
250 WALTHAM ST, WEST NEWTON, MA 02465-1750
(401) 651-5851
Mailing address
250 WALTHAM ST, WEST NEWTON, MA 02465-1750
(401) 651-5851
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2917
MA
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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