Individual
ANNA VLASYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 NASSAU ST N, VENICE, FL 34285-1772
(941) 485-2404
Mailing address
1570 YAKUTAT RD, NORTH PORT, FL 34287-4128
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12387
FL
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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