Individual
SCOTT JOSEPH VAJNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
414 CHAPMAN RD E, LUTZ, FL 33549-5779
(813) 948-0612
(813) 909-2872
Mailing address
6113 MARJO DR, TAMPA, FL 33617-1332
(813) 361-5318
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA6840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTA6840
PROFESSIONAL LICENSE
FL
Enumeration date
03/19/2007
Last updated
07/08/2007
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