Individual
MR. NELSON VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(864) 482-0085
(864) 482-0072
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
OT1031
FL
225X00000X
Occupational Therapist
Primary
3413
SC
225XH1200X
Hand Occupational Therapist
OT1031
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889777800
—
FL
Enumeration date
08/30/2006
Last updated
03/03/2025
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