Individual
VIVIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
2314 SW SAVONA BLVD, PORT SAINT LUCIE, FL 34953-2213
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
15469
FL
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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