Abigail Rodriguez
Individual provider Active NPI Occupational Therapy Assistant · Frostproof, FL
NPI 1073186334 · NPPES record last updated Jul 22, 2021
Key facts
- NPI
- 1073186334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA15664 (FL)
- Practice address
- 237 Thomas Ave
Frostproof, FL 33843-9127 - Phone
- (863) 368-2157
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA15664 | FL | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA15664 | FL | Yes |
Addresses
Primary practice location
237 Thomas Ave
Frostproof, FL 33843-9127
Mailing address
237 Thomas Ave
Frostproof, FL 33843-9127
Phone (863) 368-2157
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All providers in Frostproof, FL · Occupational Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.