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Individual

KAYLA RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
700 MEASE PLZ, DUNEDIN, FL 34698-6680
(813) 738-3538
Mailing address
9332 CRANDON LN, TAMPA, FL 33635-1095

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14303
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14303
COTA
FL
Enumeration date
01/17/2019
Last updated
01/17/2019
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