Marisa Rodriguez, PTA
Physical Therapy Assistant in Friona, TX. Individual provider (NPI-1).
NPI number1164071452
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1164071452
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marisa Rodriguez
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2060208 | TX | Yes |
Practice location
201 E 15th StFriona, TX 79035-1207
Phone 806-759-5177
Mailing address
402 Long StHereford, TX 79045-3228
Phone 806-759-5177
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