MATTHEW C RODRIGUE

FORT POLK, LA
NPI1003570862
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  ATH.200172)
Enumeration Date2021-10-27
Last Update Date2022-07-15
Business Address
MATTHEW C RODRIGUE ATC, LAT, MA
2030 14TH ST BLDG 1830
FORT POLK, LA 71459-5302
Phone number: 504-415-0392
Mailing Address
MATTHEW C RODRIGUE ATC, LAT, MA
136 COLONY STATION ST
THIBODAUX, LA 70301-1100
Phone number:
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