Most Relevant Information
Provider Data
| NPI Number: | 1003272493 |
| Provider Name: | DESTINY RODRIGUEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 63.001639 |
Most Important Dates
| Enumeration Date: | 01/14/2016 |
| Last Updated: | 01/14/2016 |
Provider Practice Location
4 HAZEL AVE
NAUGATUCK
CT
067704706
Practice Location Phone/Fax
| Phone: | 2037231456 |
| Fax: |
Provider Mailing Location
4 ANDRASKO RD
BEACON FALLS
CT
064034909
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |