Individual
JANESSA MAZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17997 SW 30TH ST, MIRAMAR, FL 33029-5508
(954) 243-5828
Mailing address
4265 SW 152ND AVE, MIRAMAR, FL 33027-3354
(954) 243-5828
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 13005
FL
Other
Enumeration date
03/24/2014
Last updated
02/23/2016
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