Individual
MRS. DANA MACK GUALTIERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
825 HOLLY LN, PLANTATION, FL 33317-1219
(850) 559-3965
Mailing address
825 HOLLY LN, PLANTATION, FL 33317-1219
(850) 559-3965
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20692
FL
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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