Individual
GAURA K MCLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,MOT
Contact information
Practice address
925 NW 25TH AVE, GAINESVILLE, FL 32609-2851
(352) 792-5035
Mailing address
925 NW 25TH AVE, GAINESVILLE, FL 32609-2851
(352) 792-5035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19440
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19440
STATE OF FLORIDA OT LICENSE
FL
Enumeration date
02/26/2020
Last updated
02/26/2020
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