Individual
ELSY E RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 BIRDS REST PL, KISSIMMEE, FL 34743-7879
(407) 810-4554
Mailing address
3110 BIRDS REST PL, KISSIMMEE, FL 34743-7879
(407) 810-4554
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
14774
FL
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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