Individual
JOSUE RODRIGUEZ-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22593 THREE NOTCH RD, CALIFORNIA, MD 20619-3202
(301) 862-2505
(301) 862-2548
Mailing address
4989 NORTH 3RD STREET, LARAMIE, WY 82072-9548
(307) 745-8997
(307) 742-6146
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
224Z00000X
Occupational Therapy Assistant
Primary
A03072
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03072
COTA
MD
Enumeration date
12/23/2014
Last updated
07/27/2022
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