Individual
MRS. DIANE DENISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1920 N ZARAGOZA RD, SUITE 108, EL PASO, TX 79938-4655
(915) 276-8700
(800) 971-7978
Mailing address
1920 N ZARAGOZA RD, SUITE 108, EL PASO, TX 79938-4655
(915) 276-8700
(800) 971-7978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
109054
TX
225XP0200X
Pediatric Occupational Therapist
Primary
109054
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3228066
—
TX
Enumeration date
08/29/2008
Last updated
12/31/2014
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