Individual
GISELLE MESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
750 NE 64TH ST APT B502, MIAMI, FL 33138-6434
(352) 382-7214
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
PT15296
FL
Other
Enumeration date
08/06/2019
Last updated
01/09/2020
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