Individual
MRS. AYEISHA MICHELLE GANDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
VILLA CAROLINA C/529 BLQ. 196-40, CAROLINA, PR 00985
(787) 636-9628
Mailing address
VILLA CAROLINA CALLE 529 BLQ. 196-40, CAROLINA, PR 00985
(787) 636-9628
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1181
PR
Other
Enumeration date
07/16/2013
Last updated
07/17/2013
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