Provider Demographics
NPI:1487118469
Name:RODRIGUEZ, ERIN L
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:L
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9209 W PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-7639
Mailing Address - Country:US
Mailing Address - Phone:440-283-5691
Mailing Address - Fax:
Practice Address - Street 1:9209 W PLEASANT VALLEY RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-7639
Practice Address - Country:US
Practice Address - Phone:440-283-5691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH14157246Z00000X
OH7827227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other