Individual
DEREK L RODIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
809 S WASHINGTON AVE, EMMETT, ID 83617-3528
(208) 365-5341
(208) 365-5342
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(726) 202-3039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9024
ID
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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