Individual
MS. LUISA MARIA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131-5426
(215) 879-1000
(215) 879-3912
Mailing address
1010 STRATFORD AVE, ELKINS PARK, PA 19027-3025
(215) 782-1347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010039
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020309500001
—
PA
Enumeration date
11/12/2007
Last updated
02/05/2008
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