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Individual

GABRIEL BERNARDO CUESTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COTA

Contact information

Practice address
15354 SW 36TH TER, MIAMI, FL 33185-4701
(786) 509-0924
Mailing address
15354 SW 36TH TER, MIAMI, FL 33185-4701
(786) 509-0924

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17168
FL

Other

Enumeration date
04/01/2020
Last updated
07/19/2021
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