Individual
FERNANDO VASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
273 E BEVERLY BLVD, MONTEBELLO, CA 90640-3775
(323) 724-5100
Mailing address
11301 FELT DR, WHITTIER, CA 90604-1950
(323) 868-0776
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2134
CA
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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