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Individual
MISS SOFIA VASQUEZ
Active
Individual
MISS SOFIA VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS/MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
015436
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
015436
NY
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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