Individual
ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1904 TESORO BLVD, PHARR, TX 78577
(956) 283-9442
(956) 283-9456
Mailing address
621 GUADALUPE DRIVE, SAN JUAN, TX 78589
(956) 283-9442
(956) 283-9456
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209231
TX
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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