Individual
IVY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
840 GUADALUPE PKWY STE 238, SAN JOSE, CA 95110-1714
(408) 299-3166
Mailing address
2001 THE ALAMEDA, SAN JOSE, CA 95126-1136
(140) 826-1777
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
13378
CA
Other
Enumeration date
10/01/2013
Last updated
02/04/2025
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