Individual
GRETELL IVELYN JASPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1222 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-4449
(407) 395-9976
Mailing address
1222 WINTER GARDEN VINELAND RD, WINTER GARDEN, FL 34787-4449
(407) 395-9976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16216
FL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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