Individual
AMBER ALEXANDREA GAVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 VINEYARD WAY, TALLAHASSEE, FL 32317-7914
(850) 228-0859
Mailing address
1735 VINEYARD WAY, TALLAHASSEE, FL 32317-7914
(850) 228-0859
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13889
FL
Other
Enumeration date
02/25/2015
Last updated
02/25/2015
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