Individual
MS. TINA ELISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
127 S BROADWAY, YONKERS, NY 10701-4006
(914) 318-1748
Mailing address
3073 BUHRE AVE, #4D, BRONX, NY 10461-4735
(914) 318-1748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
007269-1
NY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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