Individual
JULISSA MARIA VELEZ TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1851 GOLDEN EAGLE WAY STE 43, FLEMING ISLAND, FL 32003-4334
(904) 736-3470
Mailing address
1132 MCKINLEY CT, JACKSONVILLE, FL 32205-7947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
017376
NY
225XP0200X
Pediatric Occupational Therapist
Primary
15898
FL
Other
Enumeration date
04/24/2012
Last updated
03/25/2019
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