Individual
MRS. LEANDRA ROSE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
222 S RIVERSIDE PLZ, SUITE 830, CHICAGO, IL 60606-5808
(312) 416-3804
(866) 602-2700
Mailing address
2560 LEYDEN AVE, RIVER GROVE, IL 60171-1660
(708) 426-3226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057001657
IL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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