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1386992758
BRENO T RODRIGUES
SANDY, UT
NPI
1386992758
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2012-08-16
Last Update Date
2021-11-22
Business Address
BRENO T RODRIGUES PT, DPT
9660 S 1300 E
SANDY, UT 84094-3762
Phone number: 801-501-3449
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Mailing Address
BRENO T RODRIGUES PT, DPT
9660 S 1300 E
SANDY, UT 84094-3793
Phone number: 801-501-3449
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