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Individual

DORIS OCASIO VEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
URB, #358 C. SAN CLAUDIO , SAN JUAN, 00926, SAN JUAN, PR 00926
(727) 808-0515
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
(941) 485-0121
(941) 485-0519

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1309
PR
224Z00000X
Occupational Therapy Assistant
OTA17966
FL

Other

Enumeration date
01/14/2021
Last updated
08/28/2024
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