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NPI Code Detail

MEDICARE: MARIA DE LA LUZ BAEZ-RODRIGUEZ OTR/L

MEDICARE: MARIA DE LA LUZ BAEZ-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
1225XP0200XPediatric Occupational Therapist120854TX

General Provider Information

NPI Number : 1568084085
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA DE LA LUZ BAEZ-RODRIGUEZ OTR/L
Provider Business Mailing Address
First Line : 10810 STONE CANYON RD APT 3136
Second Line :
City : DALLAS
State : TX
Zip : 75230-4358
Country : US
Telephone Number : 469-456-5220
Fax Number :
Provider Business Practice Location Address
First Line : 2535 LONE STAR DR
Second Line :
City : DALLAS
State : TX
Zip : 75212-6313
Country : US
Telephone Number : 214-467-9787
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2020
Last Update Date : 05/07/2020

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Directions to “ MARIA DE LA LUZ BAEZ-RODRIGUEZ OTR/L” Practice Location

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