Individual
KIMBERLY RENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(806) 466-6358
Mailing address
6502 SLIDE RD STE 204, LUBBOCK, TX 79424-1311
(806) 466-6358
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
120655
TX
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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