Individual
ASHLEY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
33 ROGER ST, LEWISTON, ME 04240-3328
(207) 784-0108
Mailing address
16 TAPPAN FARM RD, WINTHROP, ME 04364-4235
(316) 841-7902
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
18-01151
KS
224Z00000X
Occupational Therapy Assistant
Primary
OA3140
ME
Other
Enumeration date
03/10/2016
Last updated
03/30/2016
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