Individual
JACQUELINE ELIZABETH VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
321 E 76TH PL, LOS ANGELES, CA 90003-2325
(323) 758-2954
Mailing address
321 E 76TH PL, LOS ANGELES, CA 90003-2325
(323) 758-2954
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT7263
CA
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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