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NPI Code Detail

MEDICARE: BRIANA RODRIGUEZ

MEDICARE: BRIANA RODRIGUEZ
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
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1558997718
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANA RODRIGUEZ
Provider Business Mailing Address
First Line : 7023 OAKLEY ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3918
Country : US
Telephone Number : 215-221-2280
Fax Number :
Provider Business Practice Location Address
First Line : 6401 MARTINS MILL RD
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-5304
Country : US
Telephone Number : 215-697-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2020
Last Update Date : 03/19/2020

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Directions to “ BRIANA RODRIGUEZ ” Practice Location

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