Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 10312-024 | WI |
N | 2251E1200X | Ergonomics | 10312-024 | WI |
N | 225XE1200X | Ergonomics | 10312-024 | WI |
Y | 2251H1300X | Human Factors | 10312-024 | WI |
Y | 225XH1300X | Human Factors | 10312-024 | WI |
NPI | 1578730495 |
---|---|
Provider Name | David Rodriguez |
First Address | Eau Claire, WI 54703-6249 |
Second Address | Eau Claire, WI 54703-6249 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2008 |
Last Update Date | 21/04/2011 |