Mauricio A Rodriguez, PTA

NPI #1023251063 in Rego Park, New York

Provider Information

NPI Number: 1023251063
Entity Type: Individual
Name: Mauricio A Rodriguez, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Apr 7, 2009
Last Updated: Apr 7, 2009

Practice Location

Address: 8582 ELIOT AVE APT 1B
City: Rego Park
State: New York
ZIP Code: 11374-1079
Phone: (646) 643-5624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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