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Individual

MRS. DESTINY SHAE GILPIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
6410 FORWARD PASS TRL, TALLAHASSEE, FL 32309-2006
(850) 766-1683
Mailing address
6410 FORWARD PASS TRL, TALLAHASSEE, FL 32309-2006
(850) 766-1683

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT17432
FL

Other

Enumeration date
12/14/2015
Last updated
04/18/2018
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