NPI 1003271685

Justin Rodriguez, PTA

Practitioner Physical Therapy Assistant Chino Valley, AZ

Practice location

Address: 411 W Road 1 N STE a, Chino Valley, AZ 86323-5943
Phone: (928) 636-8521

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 11925A (AZ)

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Registry record

NPI: 1003271685
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Dec 2015
Record last updated: 23 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.