Individual
JACQUELYN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 AMISTAD DR, MISSION VIEJO, CA 92694-1897
(949) 779-6809
Mailing address
1 AMISTAD DR, MISSION VIEJO, CA 92694-1897
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
28760
CA
Other
Enumeration date
03/28/2026
Last updated
03/28/2026
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