Individual
JACOB JEFFREY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2122 PARK BEND DR, AUSTIN, TX 78758-5352
(512) 836-9777
Mailing address
2122 PARK BEND DR, AUSTIN, TX 78758-5352
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214470
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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