Individual
MISS VANESSA VILLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8125 NW 192ND TER, HIALEAH, FL 33015-5207
(305) 582-6149
Mailing address
8125 NW 192ND TER, HIALEAH, FL 33015-5207
(305) 582-6149
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13017
FL
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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