Individual
MYRA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
805 N CAGE BLVD, PHARR, TX 78577-3102
(956) 787-6600
Mailing address
805 N CAGE BLVD, PHARR, TX 78577-3102
(956) 787-6600
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209257
TX
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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