Individual
JUSTINE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
Mailing address
31506 64TH AVE NW, STANWOOD, WA 98292-7121
(360) 421-6797
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160164694
WA
Other
Enumeration date
03/19/2020
Last updated
03/19/2020
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