Individual
DANIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2400 LEGACY CT, SANTA FE, NM 87507-4819
(505) 501-8623
Mailing address
3900 CALLE OLIVO NE, ALBUQUERQUE, NM 87111-4341
(505) 453-2379
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3866
NM
2251G0304X
Geriatric Physical Therapist
3866
NM
Other
Enumeration date
12/22/2014
Last updated
01/26/2023
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