Individual
MAGALI GISELE BREVIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 SW HEATHER ST, PORT ST LUCIE, FL 34983-2454
(772) 878-5914
Mailing address
1106 SW HEATHER ST, PORT ST LUCIE, FL 34983-2454
(772) 878-5914
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
46TAO9066900
NJ
224Z00000X
Occupational Therapy Assistant
Primary
OTA 9724
FL
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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