Individual
KENZIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7934 LEMON HILL AVE, SACRAMENTO, CA 95824-3345
(916) 395-4555
Mailing address
7786 CHANCERY CT, CITRUS HEIGHTS, CA 95610-5904
(916) 296-1467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
224Z00000X
Occupational Therapy Assistant
Primary
OTA6730
CA
Other
Enumeration date
07/17/2023
Last updated
06/23/2025
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