Individual
JAI-LISA MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4655 66TH STREET NORTH, ST. PETERSBURG, FL 33709
(727) 546-4700
(727) 549-8108
Mailing address
4655 66TH STREET NORTH, ST. PETERSBURG, FL 33709
(727) 546-4700
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24928
FL
225XN1300X
Neurorehabilitation Occupational Therapist
OT24928
FL
225XP0019X
Physical Rehabilitation Occupational Therapist
OT24928
FL
225XP0200X
Pediatric Occupational Therapist
OT24928
FL
Other
Enumeration date
04/22/2020
Last updated
02/12/2024
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