NPI 1093300824

Juan Chanelo Rodriguez, LMT

Practitioner Recreation Therapist St Petersburg, FL

Practice location

Address: 6619 1st Ave S, St Petersburg, FL 33707-1305
Phone: (727) 623-9996
Mailing address: 9943 14th St N APT 204, Saint Petersburg, FL 33716-5019

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence MA75384 (FL)

Other Recreation Therapist providers in Florida →

Registry record

NPI: 1093300824
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2021
Record last updated: 3 Mar 2021

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.