Individual
MELY MARIE GAMBA-RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
17670 NW 78TH AVE, SUITE 113, HIALEAH, FL 33015-3664
(305) 512-5757
(305) 512-5755
Mailing address
6600 CYPRESS RD, UNIT 512, PLANTATION, FL 33317-3092
(954) 655-1461
(305) 512-5755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10491
FL
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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