Healthcare Provider Details

I. General information

NPI: 1487118469
Provider Name (Legal Business Name): ERIN L RODRIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2019
Last Update Date: 01/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9209 W PLEASANT VALLEY RD
PARMA OH
44130-7639
US

IV. Provider business mailing address

9209 W PLEASANT VALLEY RD
PARMA OH
44130-7639
US

V. Phone/Fax

Practice location:
  • Phone: 440-283-5691
  • Fax:
Mailing address:
  • Phone: 440-283-5691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number7827
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number14157
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: