Individual
MRS. DIANA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1415 APPLE ORCHARD TRL, CONROE, TX 77301-6262
(936) 661-3504
Mailing address
1415 APPLE ORCHARD TRL, CONROE, TX 77301-6262
(936) 661-3504
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217124
TX
224Z00000X
Occupational Therapy Assistant
462483
TX
Other
Enumeration date
10/26/2021
Last updated
10/27/2021
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