Individual
MISS JACQUELYN L RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2440 ORMSBY CIR W, JACKSONVILLE, FL 32210-3928
(707) 338-7996
Mailing address
2440 ORMSBY CIR W, JACKSONVILLE, FL 32210-3928
(707) 338-7996
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8493
CA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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