Individual
VICKI RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 E BRIER DR, SAN BERNARDINO, CA 92408-2827
(909) 386-9501
Mailing address
36810 CAMARILLO AVE, BARSTOW, CA 92311-1748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA825
CA
Other
Enumeration date
02/07/2026
Last updated
02/07/2026
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