Individual
BRENDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
953 HALF MOON CT, BANNING, CA 92220-1732
(951) 660-8634
Mailing address
953 HALF MOON CT, BANNING, CA 92220-1732
(951) 660-8634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30397
CA
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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