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Individual

NICHOLAS A RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
991 CLYDE AVE, SANTA CLARA, CA 95054-1905
(408) 988-7667
Mailing address
401 HOLLAND AVE APT 331, SAN ANTONIO, TX 78212-2429

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
215783
TX
224Z00000X
Occupational Therapy Assistant
Primary
5696
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
215783
EXECUTIVE COUNCIL OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS
TX
01
5696
SELF
CA
Enumeration date
05/30/2020
Last updated
02/26/2026
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