Individual
SERGIO A RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1020 CENTRAL PKWY S, SAN ANTONIO, TX 78232-5021
(210) 789-2273
(210) 495-1479
Mailing address
10650 CULEBRA RD STE 104-140, SAN ANTONIO, TX 78251-4949
(210) 538-4401
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
119757
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119757
LICENSE NUMBER
TX
Enumeration date
02/19/2019
Last updated
03/02/2023
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