Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1240 | AR |
NPI | 1902919525 |
---|---|
Provider Name | Mrs. Robin Colette Rodriguez |
First Address | Tampa, FL 33616-1747 |
Second Address | Bay Pines, FL 33744 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 08/07/2007 |