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Individual

JAVIER RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
444 EXECUTIVE CENTER BLVD STE 148, EL PASO, TX 79902-1096
(915) 213-1289
Mailing address
1348 CLAY BASKET CIR, EL PASO, TX 79936-6846
(915) 329-8288

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217106
TX

Other

Enumeration date
10/18/2021
Last updated
10/18/2021
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