Individual
GILMA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
Mailing address
PO BOX 35, ADNA, WA 98522-0035
(360) 748-3384
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC 60491317
WA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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