Individual provider · Type 1 NPI

Raisa Rodriguez

Developmental Therapist · Brandon, FL

NPI number 1801187455 Active

Practice location

708 Pearl Cir
Brandon, FL 33510-4246

Fax (813) 655-4814

Mailing address

11402 Mountain Bay Dr
Riverview, FL 33569-2039

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1801187455

Raisa Rodriguez's National Provider Identifier is 1801187455, issued on Apr 29, 2011. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Brandon, FL. The record was last updated on Apr 29, 2011.