Individual
NIDIA MAYLEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4290 RADIO DR APT 207, WOODBURY, MN 55129-7307
(864) 477-8421
Mailing address
4290 RADIO DR APT 207, WOODBURY, MN 55129-7307
(864) 477-8421
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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