Individual
STEPHANIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1249 SE HIGH RIDGE CT, PORT ORCHARD, WA 98367-9656
(360) 271-3909
Mailing address
1249 SE HIGH RIDGE CT, PORT ORCHARD, WA 98367-9656
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9554
CA
225200000X
Physical Therapy Assistant
Primary
P160071457
WA
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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