Individual
LIZETTE M VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5285 SW 40TH AVE, FORT LAUDERDALE, FL 33314-6501
(954) 294-1446
Mailing address
5285 SW 40TH AVE, FORT LAUDERDALE, FL 33314-6501
(954) 294-1446
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16791
FL
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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