Individual
VANESSA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
225X00000X
Occupational Therapist
Primary
6973
AL
Other
Enumeration date
03/11/2022
Last updated
04/29/2026
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