Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TR0400X | Rehabilitation Psychologist |
NPI | 1124562384 |
---|---|
Provider Name | Anabel Perez Rodriguez |
First Address | Orlando, FL 32837-8129 |
Second Address | Orlando, FL 32837-8129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2016 |
Last Update Date | 07/12/2016 |