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Individual
MISS KIRIALIS IVETTE CARDONA-GIBOYEAUX
Active
Individual
MISS KIRIALIS IVETTE CARDONA-GIBOYEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1245
PR
225XP0019X
Physical Rehabilitation Occupational Therapist
1245
PR
225XP0200X
Pediatric Occupational Therapist
1245
PR
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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