Individual
BIANCA VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4318 97TH PL, CORONA, NY 11368-4380
(718) 424-8456
Mailing address
6020 FRESH POND RD, MASPETH, NY 11378-3454
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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