Individual
MADISON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6210 CORD GRASS LN, BEAUFORT, SC 29906-6101
(760) 646-7291
Mailing address
6210 CORD GRASS LN, BEAUFORT, SC 29906-6101
(760) 646-7291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6718
SC
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
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