Individual
JAVIER AURELIO VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
9440 SW 143RD PL, MIAMI, FL 33186-1092
(305) 479-5238
Mailing address
9440 SW 143RD PL, MIAMI, FL 33186-1092
(305) 479-5238
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11851
FL
Other
Enumeration date
07/11/2011
Last updated
05/30/2019
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