Individual
FREDA VAILLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1148 HIGHLAND RD, LANTANA, FL 33462-6114
(561) 853-6325
Mailing address
1148 HIGHLAND RD, LANTANA, FL 33462-6114
(561) 853-6325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18609
FL
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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