Nathally Isabel Rodriguez
Rehabilitation Practitioner in Riverside, CA. Individual provider (NPI-1).
NPI number1164058715
StatusActive
Last updated in NPPESJun 11, 2024
Details
- NPI
- 1164058715
- Entity type
- Individual (NPI-1)
- Name
- Nathally Isabel Rodriguez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2020
- Certification date
- Jun 11, 2024
- Last updated
- Jun 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
3576 Arlington Ave Ste 100Riverside, CA 92506-3907
Phone 951-374-1555
Mailing address
3576 Arlington Ave Ste 100Riverside, CA 92506-3907
Phone 951-374-1555
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