Individual
JESSICA RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
21243 NY-12F, WATERTOWN, NY 13601-1360
(845) 800-6379
Mailing address
164 BOYCE RD, PINE BUSH, NY 12566-6832
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
027825
NY
Other
Enumeration date
03/17/2016
Last updated
12/27/2021
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