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Individual

MARLYCE RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPTA, CMT

Contact information

Practice address
202 STRAWBERRY OAKS DR, ORANGE CITY, FL 32763-7444
(386) 775-8607
(386) 775-8607
Mailing address
554 PLACID RUN RD, ORANGE CITY, FL 32763-6625
(386) 848-7111
(386) 775-8607

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9473
FL

Other

Enumeration date
03/23/2007
Last updated
07/08/2007
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