Individual
LAURA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2434 BENJAMIN DR, KISSIMMEE, FL 34744-2722
(407) 558-5664
Mailing address
2434 BENJAMIN DR, KISSIMMEE, FL 34744-2722
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11834
FL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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