Individual
PATRICIA LYNETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3315 8TH ST, LEWISTON, ID 83501-4966
(208) 743-9543
Mailing address
3315 8TH ST, LEWISTON, ID 83501-4966
(208) 743-9543
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-359
ID
Other
Enumeration date
03/19/2007
Last updated
06/23/2008
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