Individual
CHARLENE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-1141
Mailing address
622 SW 10TH ST # SR, HALLANDALE BEACH, FL 33009-6945
(954) 458-6559
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10562
FL
Other
Enumeration date
05/19/2008
Last updated
07/21/2022
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