Individual
BIANCA GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
22391 FLORA PARKE XING UNIT A, FERNANDINA BEACH, FL 32034-8005
(678) 761-2863
(855) 565-1769
Mailing address
22391 FLORA PARKE XING UNIT A, FERNANDINA BEACH, FL 32034-8005
(678) 761-2863
(855) 565-1769
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18645
FL
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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