Individual
GISELL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
100 E SYBELIA AVE, MAITLAND, FL 32751-4763
(407) 629-9455
Mailing address
1150 LAKE SHADOW CIR APT 3206, MAITLAND, FL 32751-7553
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16961
FL
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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