Individual
AMPARO GABRIELA SOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4411 SUWANEE DAM RD, SUWANEE, GA 30024-8701
(678) 482-2158
Mailing address
2877 HIGH CREEK RUN, DACULA, GA 30019-4860
(954) 854-9822
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008014
GA
225X00000X
Occupational Therapist
OT14446
FL
Other
Enumeration date
08/04/2011
Last updated
09/14/2021
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