Individual
YAISMELYS GONZALEZ ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5598 8TH ST W UNIT 3, LEHIGH ACRES, FL 33971-6341
(239) 491-3057
(239) 491-3057
Mailing address
5598 8TH ST W UNIT 3, LEHIGH ACRES, FL 33971-6341
(239) 491-3057
(239) 491-3057
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA16243
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006236000
—
FL
Enumeration date
06/11/2018
Last updated
06/11/2018
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