Angelica Rodriguez, | |
4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7159 | |
(480) 718-9493 | |
Not Available |
Full Name | Angelica Rodriguez |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 4703 S Lakeshore Dr Ste 2, Tempe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215711072 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Revive Physical Therapy And Wellness, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689059917 PECOS PAC ID: 0840509436 Enrollment ID: O20151021003093 |
Provider Name | Methipara Therapeutics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578169686 PECOS PAC ID: 4284047838 Enrollment ID: O20201229000656 |
Mailing Address | Practice Location Address |
---|---|
Angelica Rodriguez, 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7159 Ph: (480) 718-9493 | Angelica Rodriguez, 4703 S Lakeshore Dr Ste 2, Tempe, AZ 85282-7159 Ph: (480) 718-9493 |
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