Individual
VANESSA TOBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5565 N WICKHAM RD, MELBOURNE, FL 32940-7304
(407) 573-3352
(407) 573-3355
Mailing address
5565 N WICKHAM RD, MELBOURNE, FL 32940-7304
(407) 573-3352
(407) 573-3355
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT17052
FL
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GC44C
FLORIDA BLUE
FL
Enumeration date
01/06/2016
Last updated
04/22/2025
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