Individual
LAUREN VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
315 W MEMORIAL DR, HINESVILLE, GA 31313-2413
(912) 320-4737
Mailing address
1303 VETERANS PKWY APT 203, HINESVILLE, GA 31313-6540
(956) 212-2862
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4136293
GA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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