Wanda Kay Vasquez, OT | |
60 N Charles Richard Beall Blvd, Debary, FL 32713-2513 | |
(386) 668-4426 | |
Not Available |
Full Name | Wanda Kay Vasquez |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 60 N Charles Richard Beall Blvd, Debary, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043795115 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT15977 (Florida) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306454558 PECOS PAC ID: 2163339722 Enrollment ID: O20200925002518 |
Mailing Address | Practice Location Address |
---|---|
Wanda Kay Vasquez, OT 245 S Lake Cortez Dr, Apopka, FL 32703-4827 Ph: (615) 927-2405 | Wanda Kay Vasquez, OT 60 N Charles Richard Beall Blvd, Debary, FL 32713-2513 Ph: (386) 668-4426 |
Symone Melissa Swaby, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Quail Lake Dr, Debary, FL 32713 Phone: 516-368-2604 | |
Home Modification Design, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17 Pleasant Hill Drive, Debary, FL 32713 Phone: 407-417-6031 | |
Elissa Leigh Howe, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 N Highway 17 92, Debary, FL 32713 Phone: 386-668-4426 | |
Jaclyn Batts, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 60 N Charles Richard Beall Blvd, Debary, FL 32713 Phone: 386-668-4426 | |
Mrs. Jennifer Brow, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Fox Ridge Ct Ste G, Debary, FL 32713 Phone: 386-785-6778 Fax: 386-220-8710 | |
Mr. Al Groholski, M.O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 50 Fairway Dr, Debary, FL 32713 Phone: 561-818-0691 Fax: 561-790-1918 |