Individual
LUZ MARISOL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2639 RIVER LANDING DR, SANFORD, FL 32771-9521
(917) 773-5354
Mailing address
2639 RIVER LANDING DR, SANFORD, FL 32771-9521
(917) 773-5354
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
006332
NY
224Z00000X
Occupational Therapy Assistant
Primary
OTA12213
FL
Other
Enumeration date
07/12/2006
Last updated
06/16/2018
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