Individual
MARIA RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A, E.I.S
Contact information
Practice address
2400 S HIGHWAY 27 STE B201, CLERMONT, FL 34711-6816
(135) 239-4021
(352) 394-0212
Mailing address
1480 HAMMOCK RIDGE RD APT 5202, CLERMONT, FL 34711-6383
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/20/2017
Last updated
09/25/2017
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