Individual
IVETT AMADA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
17537 SW 153RD PATH, MIAMI, FL 33187-6305
(786) 502-0506
Mailing address
17537 SW 153RD PATH, MIAMI, FL 33187-6305
(786) 502-0506
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13781
FL
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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