Individual
MS. JESSICA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
105 S 745 W, CROWN POINT, IN 46307-8548
(219) 545-3468
Mailing address
105 S 745 W, CROWN POINT, IN 46307-8548
(219) 545-3468
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002994
IL
Other
Enumeration date
04/17/2013
Last updated
04/17/2013
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