Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1202948 | TX |
N | 2251G0304X | Physical Therapist - Geriatrics | 1202948 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 1202948 | TX |
N | 2251P0200X | Physical Therapist - Pediatrics | 1202948 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1202948 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1202948 | TX |
NPI | 1427259811 |
---|---|
Provider Name | Mr. Rodolfo Ocejo |
First Address | League City, TX 77573-4764 |
Second Address | League City, TX 77573-4764 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 30/10/2015 |