Individual
MS. MARIA ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
220 MYSTERY HOUSE RD, DAVENPORT, FL 33837-9764
(863) 221-8018
Mailing address
220 MYSTERY HOUSE RD, DAVENPORT, FL 33837-9764
(863) 221-8018
(863) 221-8018
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA28210
PTA LICENSE
FL
Enumeration date
05/24/2018
Last updated
10/13/2021
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