Individual
MS. GISELLE VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATO,THL
Contact information
Practice address
HC 15 BOX 16018, HUMACAO, PR 00791-9746
(787) 941-6389
Mailing address
HC 15 BOX 16018, HUMACAO, PR 00791-9746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
819
PR
2355S0801X
Speech-Language Assistant
5090
PR
Other
Enumeration date
11/30/2011
Last updated
05/20/2025
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