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Individual

DR. RODOLFO J. CARRIDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 475-7500
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003359
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13649695
CAQH PROVIEW
DE
Enumeration date
11/09/2015
Last updated
03/28/2016
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