Individual
ALEJANDRA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4108 BOAT CLUB RD, FORT WORTH, TX 76135-2604
(817) 370-9891
Mailing address
6501 HARRIS PKWY, FORT WORTH, TX 76132-6102
(817) 370-9891
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1315299
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1315299
PT LICENSE
—
Enumeration date
02/08/2019
Last updated
02/08/2019
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