Organization
VANESSA DORADO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA DORADO MS, OTR/L (OWNER)
(305) 244-1531
Entity
Organization
Contact information
Practice address
1493 NORTHLAKE DR, JACKSON, MS 39211-2138
(305) 244-1531
Mailing address
PO BOX 59083, JACKSON, MS 39284-9083
(130) 524-4153
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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