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Individual

MICHELLE GAETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9880 ANGIES WAY STE 100, LOUISVILLE, KY 40241-2851
(502) 339-6490
Mailing address
3175 CLORE JACKSON RD, SHELBYVILLE, KY 40065-9078
(732) 796-3257

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
174429
KY
225XH1200X
Hand Occupational Therapist
Primary
OT-10219
FL

Other

Enumeration date
03/30/2007
Last updated
08/01/2019
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