Individual
MR. JOHNNY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1002 W SAM HOUSTON BLVD STE 7, PHARR, TX 78577-5198
(956) 601-2274
(956) 601-2275
Mailing address
PO BOX 1900, WESLACO, TX 78599-1900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208798
TX
Other
Enumeration date
12/01/2020
Last updated
09/16/2024
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