Individual
LISA ANN RODRIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000394
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11244279
CAQH
CT
01
—
130000394CT01
BCBS
CT
Enumeration date
03/29/2007
Last updated
07/08/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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