Individual
ERIKA V RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4101 SOUTHPOINT DR E, JACKSONVILLE, FL 32216-0996
(904) 296-6800
Mailing address
32 PRATTWOOD LN, PALM COAST, FL 32164-4747
(386) 793-9858
(386) 864-8181
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA14937
FL
3747P1801X
Personal Care Attendant
Primary
100062450
FL
Other
Enumeration date
05/30/2017
Last updated
01/30/2019
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