Individual
ERICA RODRIGUEZ-PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10685 SW STONY CREEK WAY, PORT ST LUCIE, FL 34987-2741
(772) 345-2700
Mailing address
1340 SE 7TH ST, STUART, FL 34996-3213
(239) 719-0561
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13636
FL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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