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Individual

CHARLES JOHN RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12109 E. ARIZONA DRIVE, AURORA, CO 80012
(719) 568-1077
Mailing address
12109 E. ARIZONA DRIVE, AURORA, CO 80012
(719) 568-1077

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
213894
CO

Other

Enumeration date
02/03/2012
Last updated
02/03/2012
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