Individual
TYNISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
16170 S. KINGSPORT ROAD, QTC, INC., ORLAND PARK, IL 60467-5602
(708) 326-1550
Mailing address
16170 S. KINGSPORT ROAD, QUALITY THERAPY CONSULTATION, INC., ORLAND PARK, IL 60467-5602
(708) 326-1550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057003506
IL
Other
Enumeration date
04/25/2015
Last updated
05/04/2015
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