| NPI | 1790772630 |
|---|---|
| Former Name | MITZI L RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 13219) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: CO 13219) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2018-12-03 |