Individual
MIRELLE LEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5002 SE 112TH STREET RD, BELLEVIEW, FL 34420-3829
(407) 793-8980
Mailing address
5002 SE 112TH STREET RD, BELLEVIEW, FL 34420-3829
(407) 793-8980
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19280
FL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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