Individual
KELSEA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1601 CENTRAL AVE W, WIGGINS, MS 39577-2401
(601) 716-3196
Mailing address
20057 BALATA DR, GULFPORT, MS 39503-5459
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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