Individual
FERNANDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8105 NASHVILLE AVE, BURBANK, IL 60459-1733
(312) 848-9362
Mailing address
8105 NASHVILLE AVE, BURBANK, IL 60459-1733
(312) 848-9362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005776
IL
Other
Enumeration date
09/06/2014
Last updated
09/06/2014
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