Individual
KIMBERLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2085 VISTA PKWY, WEST PALM BEACH, FL 33411-2719
(561) 471-6000
Mailing address
1819 CORNELIA ST, APT 2R, RIDGEWOOD, NY 11385-4936
(646) 742-7412
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008598-1
NY
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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