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NPI Code Detail

MEDICARE: JOSHUA RODRIGUEZ OTR/L

MEDICARE: JOSHUA RODRIGUEZ OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0019XPhysical Rehabilitation Occupational Therapist07305MD

General Provider Information

NPI Number : 1124668272
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA RODRIGUEZ OTR/L
Provider Business Mailing Address
First Line : 1836 GREENE TREE RD
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-1381
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1836 GREENE TREE RD
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-1381
Country : US
Telephone Number : 410-486-9992
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2020
Last Update Date : 01/07/2020

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