Individual
MS. YANLICETH RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4430 SW 22ND CT, FT LAUDERDALE, FL 33317
(954) 393-9669
Mailing address
4430 SW 22ND CT, FORT LAUDERDALE, FL 33317-6677
(954) 393-9669
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA24968
FL
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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