Individual
DIVINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1527 ROUTE 27 SUITE1100, SOMERSET, NJ 08873
(732) 545-7474
Mailing address
247 HIDDEN WOODS CT, PISCATAWAY, NJ 08854
(201) 658-6426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTQA00833900
NJ
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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