| Doctor Name: | ODALYS GONZALEZ-RODRIGUEZ |
| NPI Number: | 1437414505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSPT |
| License Number: | 1420 |
| Business Practice Address: | 1700 S Lincoln Ave. Lebanon Vmac Bldg 102 Room 120 Lebanon, PA - 17042 |
| Business Phone Number: | 7172726621 |
| Business Fax Number: | |
| Mailing Address: | 903 W Fairway Dr, Apt. C LANCASTER |
| State: | PA |
| Postal Code: | 176035937 |
| Phone Number: | 7874555280 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2012 |
| NPI Last Update Date: | 07/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1420 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |