Individual
JESSICA MAQUEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
417 COMMERCIAL CT STE C, VENICE, FL 34292-1655
(941) 485-0121
(841) 485-0591
Mailing address
5 REVERE DR STE 120, NORTHBROOK, IL 60062-8005
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17239
FL
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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