DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. RICARDO FELIX VAZQUEZ, PTA, NREMT

Active Sole Proprietor

MR. RICARDO FELIX VAZQUEZ, PTA, NREMT is a Occupational Therapist healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1962940320 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1962940320
Provider Type
Individual
Gender
Male
NPI Issued
Feb 6, 2017 (9.4837201844022 yrs)
Last Updated
Feb 6, 2017
Licenses
E3018291 (MN)
A1957 (MN)
2115596 (TX)
Sole Proprietor
Yes

Practice Information

Address
2300 SPRUCE PL
WHITE BEAR LAKE, MN, 551104871
Browse MN providers · Browse ZIP 55110
Phone
6517882881
Primary Specialty
Occupational Therapist
225200000X
Additional Specialty
Occupational Therapist
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in WHITE BEAR LAKE, MN

Name Credential NPI
MS. MICHELLE MARIE LYNCH 1710144282
MRS. ERICA AIMEE HANSEN PTA 1467096123
JANA LUNDELL 1467045245
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.