Individual
MRS. GLADYS VANESSA VILLEGAS-OCAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3110 ARMSTRONG SPRING DR, KISSIMMEE, FL 34744-9286
(201) 904-6917
Mailing address
3110 ARMSTRONG SPRING DR, KISSIMMEE, FL 34744-9286
(201) 904-6917
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17133
FL
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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