Individual
BIANKA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 PEERLESS CIR, LEHIGH ACRES, FL 33974-9492
(239) 776-9989
Mailing address
514 PEERLESS CIR, LEHIGH ACRES, FL 33974-9492
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12614
FL
Other
Enumeration date
02/06/2022
Last updated
02/06/2022
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