Provider Demographics
NPI:1447608682
Name:RODRIN, FRANCES MIKO DIMAPILIS
Entity Type:Individual
Prefix:
First Name:FRANCES MIKO
Middle Name:DIMAPILIS
Last Name:RODRIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1181 SW VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:99324-8001
Mailing Address - Country:US
Mailing Address - Phone:956-328-4546
Mailing Address - Fax:
Practice Address - Street 1:1181 SW VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:COLLEGE PLACE
Practice Address - State:WA
Practice Address - Zip Code:99324-8001
Practice Address - Country:US
Practice Address - Phone:956-328-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60418221225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist