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Individual

MS. DANA TRINIDAD RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
91 NEAL ST, FARMINGTON, AR 72730
(479) 267-4673
(479) 267-4880
Mailing address
2200 W ORA DR, FAYETTEVILLE, AR 72703
(479) 466-7329

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1911
AR

Other

Enumeration date
08/14/2006
Last updated
07/08/2007
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