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Individual
LUZ RODRIGUEZ
Active
Individual
LUZ RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113029
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113029
STATE LICENSE
TX
Enumeration date
03/24/2009
Last updated
03/24/2009
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