Individual
MRS. MICHELLE MARIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
705 17TH ST STE 407, COLUMBUS, GA 31901-3514
(334) 756-1126
(334) 156-6561
Mailing address
1167 GRIGGS ST, DUPONT, WA 98327-8755
(706) 573-8589
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60589937
WA
225XH1300X
Human Factors Occupational Therapist
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Other
Enumeration date
07/22/2008
Last updated
09/22/2015
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