Individual
TIMOTHY JAY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
13333 BLANCO RD STE 310, SAN ANTONIO, TX 78216-7756
(210) 479-5875
(210) 479-2911
Mailing address
220 BRANCH OAK WAY, SHAVANO PARK, TX 78230-5601
(210) 410-2661
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
476461
TX
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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