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Oswaldo Rodriguez, Physical Therapy ass

Physical Therapy Assistant in Lake City, FL. Individual provider (NPI-1).

NPI number1760655682
StatusActive
Last updated in NPPESApr 11, 2008

Details

NPI
1760655682
Entity type
Individual (NPI-1)
Name
Oswaldo Rodriguez
Credential
Physical Therapy ass
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 11, 2008
Last updated
Apr 11, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant00211PRYes

Practice location

1229sw. Yorktown Glen
Lake City, FL 32025-0481

Phone 386-719-6975

Mailing address

1229sw Yorktown Glen
Lake City, FL 32025-0481

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