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Individual

LISA RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
240 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1023
(908) 317-3030
Mailing address
24 HIDDEN HOLLOW CT, PISCATAWAY, NJ 08854-5262
(732) 570-4158

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01026100
NJ

Other

Enumeration date
03/08/2022
Last updated
03/08/2022
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