Individual
JESUS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
306 S BRYAN RD, MISSION, TX 78572-6222
(956) 519-2700
(956) 519-2704
Mailing address
3613 PAULA AVE, MCALLEN, TX 78503-8765
(956) 519-2700
(956) 519-2704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208555
TX
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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