Individual
GISELLE BARRIENTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3501 W VINE ST, KISSIMMEE, FL 34741-4643
(321) 445-1287
(407) 386-7448
Mailing address
2869 BERKSHIRE CIR, KISSIMMEE, FL 34743-5655
(321) 437-1596
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
477564
FL
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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