| NPI | 1225566383 |
|---|---|
| Former Name | RUDI LAUREN RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO PTL0015212) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT30316) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2018-06-08 |