Individual
GEORGIANNA GACULA FRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
17551 DALE MABRY HWY N, SUITE #5, LUTZ, FL 33548-4521
(727) 455-7904
(813) 920-9823
Mailing address
13949 JACOBSON DR, ODESSA, FL 33556-1763
(727) 455-7904
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3458
FL
Other
Enumeration date
10/03/2006
Last updated
10/30/2007
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