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Juan Chanelo Rodriguez, LMT
Recreation Therapist in St Petersburg, Florida
NPI 1093300824

Juan Chanelo Rodriguez is a Recreation Therapist based in Saint Petersburg, FL. Juan Chanelo Rodriguez practices in St Petersburg, FL and has the professional credentials of LMT. The NPI Number for Juan Chanelo Rodriguez is 1093300824 and holds a License No. MA75384 (Florida).

The current practice location address for Juan Chanelo Rodriguez is 6619 1St Ave S, St Petersburg, FL and can be reached out via phone at 727-623-9996.

Location: 6619 1St Ave S, St Petersburg, FL, 33716-5019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093300824
Provider Name
Juan Chanelo Rodriguez
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
6619 1St Ave S, St Petersburg, FL, 33716-5019
Phone Number
727-623-9996
Fax Number
Provider Enumeration Date
03/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA75384 01 FL LMT
institution
Provider Business Practice Location Address Details
Address
6619 1St Ave S
City
St Petersburg
State
Florida
Zip
33707-1305
Phone Number
727-623-9996
Fax Number
person
Provider Business Mailing Address Details
Address
6619 1St Ave S
City
St Petersburg
State
Florida
Zip
33707-1305
Phone Number
727-623-9996
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
MA75384 (Florida)
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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