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Individual

MRS. JANIS REBEKAH VAN VUUREN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
B.S., MOT, OT/L

Contact information

Practice address
12777 FOREST HILL BLVD, SUITE 1504, WELLINGTON, FL 33414-4775
(561) 665-6467
Mailing address
1275 CRYSTAL WAY, APT L, DELRAY BEACH, FL 33444-1030
(561) 324-8189

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT15615
FL
225XP0200X
Pediatric Occupational Therapist
Primary
OTT15615
FL

Other

Enumeration date
02/05/2013
Last updated
02/05/2013
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