Individual
LANI DANAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4515 VILLAGE CREEK RD, FT WORTH, TX 76119-4158
(817) 451-8704
Mailing address
1203 ELIZABETH BLVD, GRANBURY, TX 76048-2313
(817) 279-2521
Taxonomy
Speciality
Code
Description
License number
State
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
Primary
215842
TX
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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