Individual
CARLOTA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15945 OAKCREST CIR, BROOKSVILLE, FL 34604-8224
(352) 613-0116
Mailing address
15945 OAKCREST CIR, BROOKSVILLE, FL 34604-8224
(352) 613-0116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4196
FL
225XP0200X
Pediatric Occupational Therapist
002638
CT
Other
Enumeration date
09/04/2014
Last updated
05/14/2020
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