Individual
MRS. JANET TALAVERA GUSSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
214 S DILLARD ST, WINTER GARDEN, FL 34787-3523
(407) 877-0029
Mailing address
13519 GLYNSHEL DR, WINTER GARDEN, FL 34787-5001
(407) 257-9218
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA13916
FL
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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