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Nicholas Rodriguez

Occupational Therapist in Bolingbrook, IL. Individual provider (NPI-1).

NPI number1508300567
StatusActive
Last updated in NPPESDec 10, 2016

Details

NPI
1508300567
Entity type
Individual (NPI-1)
Name
Nicholas Rodriguez
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 10, 2016
Last updated
Dec 10, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist056011717ILYes

Practice location

334 Stafford Way
Bolingbrook, IL 60440-2128

Phone 630-484-1113

Mailing address

334 Stafford Way
Bolingbrook, IL 60440-2128

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Other Occupational Therapist providers in Bolingbrook, IL

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