Individual
GLORIANGELES SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 INTERNATIONAL PKWY, LAKE MARY, FL 32746-5061
(407) 732-5848
Mailing address
442 WEKIVA COVE RD, LONGWOOD, FL 32779-5600
(352) 317-0206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT13511
FL
Other
Enumeration date
10/07/2009
Last updated
02/20/2020
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