Individual
MARISOL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
5979 NW 151ST ST, SUITE 208, MIAMI LAKES, FL 33014-2400
(305) 362-3300
Mailing address
20214 NW 52ND PL, LOT736, MIAMI GARDENS, FL 33055-4716
(305) 764-8119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTA12804
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OTA12804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA12804
COTA
FL
Enumeration date
02/24/2014
Last updated
02/24/2014
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