Individual
ALICIA MARCIANA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3745 WOODWORTH DR, LORAIN, OH 44053-6100
(440) 989-6094
Mailing address
3745 WOODWORTH DR, LORAIN, OH 44053-6100
(440) 989-6094
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA006867
OH
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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