Individual
RAISA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
708 PEARL CIR, BRANDON, FL 33510-4246
(813) 391-0235
(813) 655-4814
Mailing address
11402 MOUNTAIN BAY DR, RIVERVIEW, FL 33569-2039
(813) 443-9167
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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