Individual
MS. HEMA ISHWAR GHUTADARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2825 VIA PIAZZA LOOP, FORT MYERS, FL 33905-5563
(702) 501-9069
Mailing address
2825 VIA PIAZZA LOOP, FORT MYERS, FL 33905-5563
(702) 501-9069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10476
FL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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