Nicholas Rodriguez

NPI #1508300567 in Bolingbrook, Illinois

Provider Information

NPI Number: 1508300567
Entity Type: Individual
Name: Nicholas Rodriguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Dec 10, 2016
Last Updated: Dec 10, 2016

Practice Location

Address: 334 STAFFORD WAY
City: Bolingbrook
State: Illinois
ZIP Code: 60440-2128
Phone: (630) 484-1113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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