Individual
JESSIE JOSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4100 W INTERSTATE 20, WEATHERFORD, TX 76088-8536
(682) 716-0640
Mailing address
PO BOX 61216, CORPUS CHRISTI, TX 78466-1216
(682) 716-0640
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2059309
TX
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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