Individual
MRS. MARIBEL DELIA BRACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS, CDP
Contact information
Practice address
1601 SW ARCHER RD # 117C, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
16781 NW 167TH DR, ALACHUA, FL 32615-6498
(224) 223-3885
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
63348
FL
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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