Individual
MRS. DEBRA D. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
416 MAPLE STREET, BAYARD, NM 88023-0507
(575) 313-5756
Mailing address
PO BOX 507, BAYARD, NM 88023-0507
(575) 313-5756
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212592
TX
224Z00000X
Occupational Therapy Assistant
3202
NM
224Z00000X
Occupational Therapy Assistant
3340
SC
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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