Individual
JAZABEL CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4321 SW 121ST LN APT 306, MIRAMAR, FL 33025-3847
(954) 707-0194
Mailing address
4321 SW 121ST LN APT 306, MIRAMAR, FL 33025-3847
(954) 707-0194
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16960
OTA
FL
Enumeration date
01/21/2019
Last updated
01/21/2019
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