Individual
JESSICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD/L
Contact information
Practice address
6521 SW 25TH TER, MIAMI, FL 33155-2946
(305) 335-8288
Mailing address
6521 SW 25TH TER, MIAMI, FL 33155-2946
(305) 335-8288
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18002
FL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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