Individual
JESSICA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4310 RAVINNIA DR, ORLANDO, FL 32809-4413
(239) 634-8869
Mailing address
4310 RAVINNIA DR, ORLANDO, FL 32809-4413
(239) 634-8869
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA19099
FL
Other
Enumeration date
04/12/2024
Last updated
12/04/2025
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