Individual
GISELLE SENATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12011 SW 172ND ST, MIAMI, FL 33177-2266
(786) 663-5628
Mailing address
12011 SW 172ND ST, MIAMI, FL 33177-2266
(786) 663-5628
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013219200
—
FL
Enumeration date
09/10/2014
Last updated
04/26/2018
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