Individual
VIVIANA ALEXANDRA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2051 STATHAM BLVD, OXNARD, CA 93033-3901
(805) 765-4773
Mailing address
2748 DETROIT DR, OXNARD, CA 93036-1784
(805) 758-9743
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT25401
CA
225XP0200X
Pediatric Occupational Therapist
OT25401
CA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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