Provider Demographics
NPI:1558428516
Name:RODRIGUEZ, SYLVIA ROSAS (OTR)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:ROSAS
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 720157
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504
Mailing Address - Country:US
Mailing Address - Phone:956-447-3565
Mailing Address - Fax:956-447-8944
Practice Address - Street 1:910 E 8TH ST
Practice Address - Street 2:SUITE 7
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-4343
Practice Address - Country:US
Practice Address - Phone:956-447-3565
Practice Address - Fax:956-447-8944
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110434225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX110434OtherOTR