Individual
VANESSA DORADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L, SLP-A
Contact information
Practice address
105 LEXINGTON DR STE H, MADISON, MS 39110-6646
(601) 910-7300
(601) 910-7071
Mailing address
15986 SW 109TH ST, MIAMI, FL 33196-3104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
FL
225X00000X
Occupational Therapist
OT16644
FL
225X00000X
Occupational Therapist
Primary
OT3605
MS
Other
Enumeration date
10/07/2014
Last updated
03/05/2021
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