Individual
MRS. BEVERLY BEBE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1500 PALM BEACH RD, STUART, FL 34994-4044
(772) 288-1860
Mailing address
7250 SW HARBOR COVE DR, STUART, FL 34997-7400
(772) 403-3293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA14238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA14238
PTA
FL
Enumeration date
05/03/2011
Last updated
05/03/2011
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