Individual
JESSICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(203) 834-3112
Mailing address
64 DANBURY RD, WILTON, CT 06897-4429
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1234
CT
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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