Individual
LESLIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A
Contact information
Practice address
4850 W OAKLAND PARK BLVD, SUITE 201, LAUDERDALE LAKES, FL 33313-7260
(954) 731-7440
Mailing address
1270 HAMPTON BLVD # 15, NORTH LAUDERDALE, FL 33068-5388
(786) 231-7101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21899
FL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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