Rodolfo Tom Dorantes

NPI #1740056324 in Prospect, Kentucky

Provider Information

NPI Number: 1740056324
Entity Type: Individual
Name: Rodolfo Tom Dorantes
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Nov 27, 2023
Last Updated: Nov 27, 2023

Practice Location

Address: 10301 CONEFLOWER LN
City: Prospect
State: Kentucky
ZIP Code: 40059-8355
Phone: (502) 290-6706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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